Individual
BENNY NIEVES-MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR. 199, KM 1.2, GUAYNABO, PR 00969
(787) 740-8787
Mailing address
#1757 LOPEZ LANDRON ST., URB STGO. IGLESIAS, SAN JUAN, PR 00921
(787) 234-8235
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18893
PR
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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