Provider Demographics
NPI:1700385580
Name:NIEVES GARCIA, SAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIL
Middle Name:
Last Name:NIEVES GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42445 CALLE ARCA DE NOE
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-9496
Mailing Address - Country:US
Mailing Address - Phone:787-360-6033
Mailing Address - Fax:
Practice Address - Street 1:205 CALLE SAN JUSTO
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-1741
Practice Address - Country:US
Practice Address - Phone:787-895-6315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19836208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice