Individual
ILEANA MARIE NIEVES MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 AVE JESUS T PINERO, SAN JUAN, PR 00921-1722
(787) 781-3020
Mailing address
1976 CALLE SALVIA, GUAYNABO, PR 00969-3943
(787) 789-6940
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
68067
TN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
24080
PR
Other
Enumeration date
06/04/2019
Last updated
01/13/2025
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