Provider Demographics
NPI:1730476714
Name:ROJAS NIEVES, JOSE ANIBAL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ANIBAL
Last Name:ROJAS NIEVES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE. HOSTOS ESQ. CARR. 831
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-778-4962
Mailing Address - Fax:787-778-4991
Practice Address - Street 1:AVE. HOSTOS ESQ. CARR. 831
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-778-4962
Practice Address - Fax:787-778-4991
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5415183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist