Individual
JOSE ANGEL NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
INNOVATIVE CARE SERVICS, VEGA BAJA, PR 00693-7229
(787) 955-1311
Mailing address
HC 1 BOX 4767, HATILLO, PR 00659-7229
(787) 955-1311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001085-P.A.
PR
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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