Individual
GRETCHEN LORRAINE NIEVES-BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CONCILIO DE SALUD INTEGRAL DE LOIZA, CARR #188 INT #187, LOIZA, PR 00772
(787) 876-2042
Mailing address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23848
PR
Other
Enumeration date
07/30/2020
Last updated
06/03/2024
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