Individual
ALEX JOEL NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE BALDORIOTY # 56, SALINAS, PR 00751
(787) 558-7888
Mailing address
PO BOX 624, SALINAS, PR 00751
(787) 558-7888
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22000
PR
225100000X
Physical Therapist
1170
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1192120
LICENSE
TX
Enumeration date
11/30/2009
Last updated
11/25/2020
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