Provider Demographics
NPI:1629736921
Name:NAYIB PROFESSIONAL SERVICES INC
Entity Type:Organization
Organization Name:NAYIB PROFESSIONAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAYIB
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIVERA BETANCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-400-1273
Mailing Address - Street 1:URB MARBELLA 17
Mailing Address - Street 2:CALLE PALMERAS
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751
Mailing Address - Country:US
Mailing Address - Phone:787-400-1273
Mailing Address - Fax:
Practice Address - Street 1:BO. RABANAL CARR. 173 KM 6
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-400-1273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service