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Individual

ASHLEY MEDIAVILLA NIEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
URB SANTA CRUZ, B7 CALLE SANTA CRUZ, BAYAMON, PR 00961-6904
(787) 780-9196
(787) 625-6124
Mailing address
URB SANTA CRUZ, B7 CALLE SANTA CRUZ, BAYAMON, PR 00961
(787) 780-9196
(787) 625-6124

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83335
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83335
COLEGIO DE ENFERMERIA DE PUERTO RICO
PR
Enumeration date
06/05/2019
Last updated
06/05/2019
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