| Doctor Name: | DR. RICHARD PAUL NERY |
| NPI Number: | 1114101789 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 13927 |
| Business Practice Address: | Calle Santa Cruz Edif 77 Urb. Santa Cruz Bayamon, PR - 00959 |
| Business Phone Number: | 7877806267 |
| Business Fax Number: | |
| Mailing Address: | 404 Ave Ponce De Leon, Apt 1202 SAN JUAN |
| State: | PR |
| Postal Code: | 009012236 |
| Phone Number: | 7872262206 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2007 |
| NPI Last Update Date: | 07/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |