Doctor Name: | CHRISTIAN ERICK NIEVES |
NPI Number: | 1447612155 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 019287 |
Business Practice Address: | 32 Calle Jesus T Pinero San Sebastian, PR - 006852227 |
Business Phone Number: | 7872802600 |
Business Fax Number: | |
Mailing Address: | Po Box 1756, SAN SEBASTIAN |
State: | PR |
Postal Code: | 006857756 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/22/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 019287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |