Provider Demographics
NPI:1225060049
Name:NIEVES CABAN, MIGDALIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGDALIA
Middle Name:
Last Name:NIEVES CABAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MIGDALIA
Other - Middle Name:
Other - Last Name:NIEVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:205 PASEO REAL MONTEJO
Mailing Address - Street 2:HACIENDAS HERMANAS MENA
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5710
Mailing Address - Country:US
Mailing Address - Phone:787-884-0427
Mailing Address - Fax:787-854-7141
Practice Address - Street 1:J18 CALLE ELLIOT VELEZ
Practice Address - Street 2:URB. ATENAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4616
Practice Address - Country:US
Practice Address - Phone:787-854-6474
Practice Address - Fax:787-854-7141
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7189207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine