Individual
DR. NILDA NIEVES-SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
627 AVE SAN LUIS, ARCIBO, PR 00612
(787) 765-2929
Mailing address
627 AVE SAN LUIS, ARCIBO, PR 00612
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
804
PR
208D00000X
General Practice Physician
Primary
17454
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN877
FLORIDA ACN LICESE
FL
01
—
IB665Z
PTAN
PR
Enumeration date
01/06/2009
Last updated
12/09/2019
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