Provider Demographics
NPI:1558925529
Name:NIEVES, ANA CRISTINA (RPT)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CRISTINA
Last Name:NIEVES
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DD12 CALLE ELVIRA
Mailing Address - Street 2:GLENVIEW GARDENS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-322-0471
Mailing Address - Fax:
Practice Address - Street 1:DD12 CALLE ELVIRA
Practice Address - Street 2:GLENVIEW GARDENS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-322-0471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0954225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist