Active NPIIndividual providerSole proprietor

Wanda I Nieves, MD

General Practice in Lares, Puerto Rico

NPI Number1265570345
Practice location
Callejones, Hc01-4195, Lares, PR 00669
Fax
787-650-8800
Last updated
August 24, 2018

Wanda I Nieves is a General Practice based in Lares, PR. Wanda I Nieves practices in Lares, PR and has the professional credentials of MD. The NPI Number for Wanda I Nieves is 1265570345 and holds a License No. 16597 (PR). The current practice location address for Wanda I Nieves is Callejones, Hc01-4195, Lares, PR 00669 and can be reached out via phone at 787-315-4824 and via fax at 787-650-8800.

Provider Profile Details

NPI Number
1265570345
Provider Name
Wanda I Nieves
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Callejones, Hc01-4195, Lares, PR 00669
Phone Number
787-315-4824
Fax Number
787-650-8800
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2007
Last Update Date
August 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
Callejones
Hc01-4195
Lares, PR 00669
City
Lares
Zip
00669
Phone Number
787-315-4824
Fax Number
787-650-8800
Lares, PR 00669Get directions →

Provider Business Mailing Address Details

Address
Callejones
Hc01-4195
Lares, PR 00669-4195
City
Lares
State
PR
Zip
00669-4195
Phone Number
787-315-4824
Fax Number
787-650-8800

License Information

License Number (1)
16597
License State (1)
PR
Taxonomy (1)
Personal Emergency Response Attendant · 146D00000X
License Number (2)
016597
License State (2)
PR
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wanda I Nieves, MD?

The NPI number of Wanda I Nieves, MD is 1265570345. It was assigned on February 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Wanda I Nieves, MD?

Wanda I Nieves, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 16597.

Where does Wanda I Nieves, MD practice?

The practice location is Callejones, Hc01-4195, Lares, PR 00669. The office can be reached at 787-315-4824 (phone) or 787-650-8800 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265570345 directly on the NPPES registry website.

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