Provider Demographics
NPI:1124541065
Name:NIEVES, FRANCHESKA NICOLE
Entity Type:Individual
Prefix:
First Name:FRANCHESKA
Middle Name:NICOLE
Last Name:NIEVES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 CARR.177 APT 1201
Mailing Address - Street 2:CONDOMINIO SANTA MARIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:1787-241-5604
Mailing Address - Fax:178-724-1560
Practice Address - Street 1:139 CARR 177 APT 1201
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5355
Practice Address - Country:US
Practice Address - Phone:1787-241-5604
Practice Address - Fax:178-724-1560
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program