1427210988 NPI number — MRS. KAROL NIEVES PEREZ RN ADN

Table of content: MRS. KAROL NIEVES PEREZ RN ADN (NPI 1427210988)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427210988 NPI number — MRS. KAROL NIEVES PEREZ RN ADN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NIEVES PEREZ
Provider First Name:
KAROL
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN ADN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427210988
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1005
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRUJILLO ALTO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00977-1005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-641-0773
Provider Business Mailing Address Fax Number:
787-641-9238

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARRETERA 175 K12 H 0
Provider Second Line Business Practice Location Address:
BARRIO LOS BARROS CAMINO LOS MORALES
Provider Business Practice Location Address City Name:
TRUJILLO ALTO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00977-1005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-641-0773
Provider Business Practice Location Address Fax Number:
787-641-9238
Provider Enumeration Date:
06/26/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  006029 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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