Doctor Name: | DR. JOSE L NIEVES PICON |
NPI Number: | 1689605370 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 9678 |
Business Practice Address: | Carr #2 Km 65.6 Bo Factor 1 Arecibo, PR - 00612 |
Business Phone Number: | 7878812953 |
Business Fax Number: | 7878814807 |
Mailing Address: | Po Box 970, ARECIBO |
State: | PR |
Postal Code: | 006130970 |
Phone Number: | 7878812953 |
Fax Number: | 7878814807 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 06/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 9678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |