Active NPIIndividual providerSole proprietor

Greshen Y Domena Nieves, PA

Physician Assistant, Medical in Arecibo, Puerto Rico

NPI Number1457059883
Practice location
Ave Miramar Carretera #2 Estatal Km 78.7, Arecibo, PR 00612
Fax
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Last updated
February 15, 2023

Greshen Yolanda Domena Nieves is a Physician Assistant, Medical based in Arecibo, PR. Greshen Yolanda Domena Nieves practices in Arecibo, PR and has the professional credentials of PA. The NPI Number for Greshen Yolanda Domena Nieves is 1457059883 and holds a License No. 1247 (PR). The current practice location address for Greshen Yolanda Domena Nieves is Ave Miramar Carretera #2 Estatal Km 78.7, Arecibo, PR 00612 and can be reached out via phone at 787-878-5757.

Provider Profile Details

NPI Number
1457059883
Provider Name
Greshen Yolanda Domena Nieves
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
Ave Miramar Carretera #2 Estatal Km 78.7, Arecibo, PR 00612
Phone Number
787-878-5757
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 15, 2023
Last Update Date
February 15, 2023
Certification Date
February 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave Miramar Carretera #2 Estatal Km 78.7
Arecibo, PR 00612
Zip
00612
Phone Number
787-878-5757
Arecibo, PR 00612Get directions →

Provider Business Mailing Address Details

Address
Po Box 144055
Arecibo, PR 00614-4055
City
Arecibo
State
PR
Zip
00614-4055
Phone Number
787-878-5757

License Information

License Number
1247
License State
PR
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Greshen Y Domena Nieves, PA?

The NPI number of Greshen Y Domena Nieves, PA is 1457059883. It was assigned on February 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Greshen Y Domena Nieves, PA?

Greshen Y Domena Nieves, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PR under license number 1247.

Where does Greshen Y Domena Nieves, PA practice?

The practice location is Ave Miramar Carretera #2 Estatal Km 78.7, Arecibo, PR 00612. The office can be reached at 787-878-5757 (phone).

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 1457059883 directly on the NPPES registry website.

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