Individual
DARTAGNAN NIEVES-LAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
URB BRASILIA CALLE 3 E7, VEGA BAJA, PR 00693
(787) 855-1811
(787) 855-1811
Mailing address
PO BOX 1736, VEGA BAJA, PR 00694-1736
(787) 855-1811
(787) 855-1811
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
2266
PR
291U00000X
Clinical Medical Laboratory
927
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031168
MEDICARE
PR
Enumeration date
11/22/2006
Last updated
09/29/2020
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