Provider Demographics
NPI:1033138607
Name:NIEVES-RIVERA, JOSE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:L
Last Name:NIEVES-RIVERA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1485 ASHFORD AVE COND ST MARYS PLAZA
Mailing Address - Street 2:APT 403-2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-765-3300
Mailing Address - Fax:787-765-3304
Practice Address - Street 1:735 PONCE DE LEON AVE. TORRE MEDICA AUXILIO MUTUO
Practice Address - Street 2:SUITE 615
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-765-3300
Practice Address - Fax:787-765-3304
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2018-11-14
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Provider Licenses
StateLicense IDTaxonomies
PR16014207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology