Individual
WANDA I NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CALLEJONES, HC01-4195, LARES, PR 00669
(787) 315-4824
(787) 650-8800
Mailing address
CALLEJONES, HC01-4195, LARES, PR 00669-4195
(787) 315-4824
(787) 650-8800
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
16597
PR
208D00000X
General Practice Physician
Primary
016597
PR
Other
Enumeration date
02/02/2007
Last updated
08/24/2018
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