Provider Demographics
NPI:1457486003
Name:HELGA E. NIEVES
Entity Type:Organization
Organization Name:HELGA E. NIEVES
Other - Org Name:FARMACIA LA NUEVA MARIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELGA
Authorized Official - Middle Name:EDMEE
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-797-3969
Mailing Address - Street 1:CALLE 9 L2 REXVILLE
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957
Mailing Address - Country:US
Mailing Address - Phone:787-797-3969
Mailing Address - Fax:787-279-8153
Practice Address - Street 1:CALLE 9 L-2 REXVILLE
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-797-3969
Practice Address - Fax:787-279-8153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09F15543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4227780001Medicare NSC