FERNANDO GERENA-NIEVES MD (Credential# 168898) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
FERNANDO GERENA-NIEVES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024145. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 11 Calle Modesto Ferrer, Cidra, PR 00739-3411. The current status is inactive.
| Licensee Name | FERNANDO GERENA-NIEVES MD |
| Credential ID | 168898 |
| Credential Number | CSP.0024145 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11 Calle Modesto Ferrer Cidra PR 00739-3411 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552693 | 1.035099 | Physician/Surgeon | 1996-03-01 | 1996-06-03 - 1997-06-30 | INACTIVE |
| Street Address | 11 CALLE MODESTO FERRER |
| City | CIDRA |
| State | PR |
| Zip Code | 00739-3411 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orlando Burgado | Rr-02, Cidra, PR 00739 | Barber | 2005-11-21 ~ 2007-12-31 |
| City | CIDRA |
| Zip Code | 00739 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CIDRA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julian Nieves IIi | 169 Natchaug Dr, Meriden, CT 06450-7418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando A Ferrer | 100 Simsbury Rd Ste 208, Avon, CT 06001-3793 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Fernando L Merino | La Quinta C-24, Tenerife | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Fernando L Ortiz | 37 Fieldstone Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1994-04-06 ~ 1995-12-01 |
| Edgardo Ortiz Nieves | 288 West Ave, Stamford, CT 06902-6355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando Barahona | 38 Bungalow Park, Stamford, CT 06902-6244 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando A Pinero | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Surani R Fernando Md | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando F Illescas Md | 17 Avery Road, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando G Abarzua-cabezas | 44 Avonwood Rd Apt 202, Avon, CT 06001-2004 | Controlled Substance Registration for Practitioner | 2013-10-01 ~ 2015-02-28 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).