| Doctor Name: | JENNIFER NIEVES |
| NPI Number: | 1083642359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 13336 |
| Business Practice Address: | Carr. #3 Km 28.8 Bo Carola Rio Grande, PR - 00745 |
| Business Phone Number: | 7876570102 |
| Business Fax Number: | 7876570102 |
| Mailing Address: | 19 Calle 1, Pmb 109 Box 70005 FAJARDO |
| State: | PR |
| Postal Code: | 007384849 |
| Phone Number: | 7876570102 |
| Fax Number: | 7876570102 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |