Provider Demographics
NPI:1619777992
Name:REGALADO, JACINTO CAJAYON JR (RN)
Entity type:Individual
Prefix:MR
First Name:JACINTO
Middle Name:CAJAYON
Last Name:REGALADO
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:215 S BROADWAY # 113
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3374
Mailing Address - Country:US
Mailing Address - Phone:857-243-5649
Mailing Address - Fax:
Practice Address - Street 1:215 S BROADWAY # 113
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3374
Practice Address - Country:US
Practice Address - Phone:857-243-5649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9531695163W00000X
CA95155963163W00000X
NY836241163W00000X
MARN2314561163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse