Individual
DR. NIEVES J GAZTAMBIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 AVE JESUS T PINERO, SUITE 1001, SAN JUAN, PR 00918-4003
(787) 620-4042
Mailing address
PO BOX 364007, SAN JUAN, PR 00936-4007
(787) 531-1125
(787) 946-9994
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3934
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3934
PUERTO RICO BOARD MEDICAL EXAMINERS
PR
Enumeration date
01/13/2012
Last updated
01/13/2012
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