Provider Demographics
NPI:1427210988
Name:NIEVES PEREZ, KAROL (RN ADN)
Entity Type:Individual
Prefix:MRS
First Name:KAROL
Middle Name:
Last Name:NIEVES PEREZ
Suffix:
Gender:F
Credentials:RN ADN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1005
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1005
Mailing Address - Country:US
Mailing Address - Phone:787-641-0773
Mailing Address - Fax:787-641-9238
Practice Address - Street 1:CARRETERA 175 K12 H 0
Practice Address - Street 2:BARRIO LOS BARROS CAMINO LOS MORALES
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00977-1005
Practice Address - Country:US
Practice Address - Phone:787-641-0773
Practice Address - Fax:787-641-9238
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006029163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse