| Doctor Name: | MRS. YADERIS ROSA NIEVES |
| NPI Number: | 1104194539 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CERTIFICADE |
| License Number: | 8698 |
| Business Practice Address: | Bo. Aceitunas Sector Ojo Carr464 Km3.3 Moca, PR - 00676 |
| Business Phone Number: | 7878961850 |
| Business Fax Number: | 7878968025 |
| Mailing Address: | Hc 3 Box 36011, Bo. Aceitunas Sector Ojo Carr 464 Km 3.3 Int MOCA |
| State: | PR |
| Postal Code: | 006769028 |
| Phone Number: | 7872359484 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2011 |
| NPI Last Update Date: | 12/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 8698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |