Provider Demographics
NPI:1821044785
Name:NEVAREZ, GLADYS MARIA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:MARIA
Last Name:NEVAREZ
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CALLE 1
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1600
Mailing Address - Country:US
Mailing Address - Phone:787-793-5184
Mailing Address - Fax:
Practice Address - Street 1:600 CALLE 1
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1600
Practice Address - Country:US
Practice Address - Phone:787-793-5184
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5416208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics