Individual
FERNANDO LUIS SANTOS NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
997 CALLE SAN ROBERTO, SAN JUAN, PR 00926-2759
(787) 773-6508
Mailing address
PO BOX 75, AIBONITO, PR 00705-0075
(787) 692-5200
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
46139
FL
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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