Individual
GIL A NIEVES ALVAREZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
AVE GENERAL VALERO # 305, FAJARDO, PR 00738-3949
(787) 403-0508
(787) 863-1422
Mailing address
PO BOX 850, FAJARDO, PR 00738-0850
(787) 403-0508
(787) 863-1422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
005456
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005456
STATE LICENSE
PR
Enumeration date
02/14/2013
Last updated
02/14/2013
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