Provider Demographics
NPI:1639114226
Name:RODRIGUEZ NIEVES, HILDA (DMD)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:
Last Name:RODRIGUEZ NIEVES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SAN JOSE APT 1305
Mailing Address - Street 2:COND SAN FRANCINCO JAVIER
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-720-2774
Mailing Address - Fax:787-720-2774
Practice Address - Street 1:140 CALLE CARAZO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4922
Practice Address - Country:US
Practice Address - Phone:787-708-8888
Practice Address - Fax:787-708-0675
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0008151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice