# ANGEL NIEVES IRIZARRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nieves First Support
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679890875
- **Authorized official:** ANGEL NIEVES IRIZARRY (DUENO)
- **Authorized official phone:** (787) 372-1505

## Contact information

- **Practice address:** 4236 CALLE GARDEL, URB BALDORIOTY, PONCE, PR 00728-2892
- **Practice address phone:** (787) 372-1505
- **Practice address fax:** (787) 200-8117
- **Mailing address:** 4236 CALLE GARDEL, URB BALDORIOTY, PONCE, PR 00728-2892
- **Mailing address phone:** (787) 372-1505
- **Mailing address fax:** (787) 200-8117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2672 CP | PR | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 11/25/2013