# EDNIRO CLINICAL SERVICES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528139847
- **Authorized official:** EDWARD NIEVES-ROMAN M.D (PRESIDENTE)
- **Authorized official phone:** (787) 406-6666

## Contact information

- **Practice address:** CALLE 6-L-2, VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
- **Practice address phone:** (787) 888-8888
- **Practice address fax:** (787) 888-8887
- **Mailing address:** PO BOX 1668 CANOVANAS, CANOVANAS, PR 00729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207R00000X | Internal Medicine Physician | 8213 | PR | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 07/31/2008