Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 16014 | PR |
NPI | 1033138607 |
---|---|
Provider Name | Dr. Jose L. Nieves-Rivera |
First Address | San Juan, PR 00907 |
Second Address | San Juan, PR 00917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 14/11/2018 |