| Doctor Name: | JUAN RAMON NEVAREZ |
| NPI Number: | 1144432428 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2656937 |
| Business Practice Address: | Ave Barbosa 414 Rio Piedras, PR - 009281414 |
| Business Phone Number: | 7877637575 |
| Business Fax Number: | 7877724560 |
| Mailing Address: | Po Box 78, TOA ALTA |
| State: | PR |
| Postal Code: | 009540078 |
| Phone Number: | 7872265048 |
| Fax Number: | 7877724560 |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | 2656937 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |