1982339057 NPI number — NIEVES INTERNAL MEDICINE HEALTH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982339057 NPI number — NIEVES INTERNAL MEDICINE HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NIEVES INTERNAL MEDICINE HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1982339057
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 AVE. DOMENECH SUITE 307-310
Provider Second Line Business Mailing Address:
LAS AMERICAS PROFESSIONAL CENTER
Provider Business Mailing Address City Name:
CAGUAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-423-2261
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 AVE LUIS MUNOZ MARIN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725-6184
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-653-3108
Provider Business Practice Location Address Fax Number:
787-961-1901
Provider Enumeration Date:
07/21/2022

Additional Information

Authorized Official

Authorized Official Last Name:
NIEVES ORTIZ
Authorized Official First Name:
ARNALDO
Authorized Official Middle Name:
A
Authorized Official Title or Position:
INTERNAL MEDICINE
Authorized Official Telephone Number:
787-423-2261

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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