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Individual

DR. GIL EDGARDO NIEVES-LUCIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
HC 73 BOX 4764, NARANJITO, PR 00719-9164
(787) 368-0637
Mailing address
CARR 164 RAMAL 815 KM 3.3, NARANJITO, PUERTO RICO 00719

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
14037
PR
207Q00000X
Family Medicine Physician
Primary
21187
PR

Other

Enumeration date
03/08/2016
Last updated
02/13/2025
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