Individual
JUAN LUIS NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
BO CAMPAMENTO 500 CARR 149, SUITE 01, CIALES, PR 00638-9661
(787) 871-3105
(787) 871-3122
Mailing address
PO BOX 1095, CIALES, PR 00638-1095
(787) 379-2027
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
4715
PR
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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