| Doctor Name: | JESSENIA NIEVES |
| NPI Number: | 1265664932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6523 |
| Business Practice Address: | C/173 Km6.2 Aguas Buenas H-c 04 Box 8302 Aguas Buenas, PR - 00703 |
| Business Phone Number: | 7877396600 |
| Business Fax Number: | 7877140410 |
| Mailing Address: | Bo. Smidero S/ Santa Clara Carr 172 Km 6.2, H-c 04 Box AGUAS BUENAS |
| State: | PR |
| Postal Code: | 00703 |
| Phone Number: | 7875539685 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2009 |
| NPI Last Update Date: | 08/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 6523 |
| 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. |