Provider Demographics
NPI:1841569308
Name:NIEVES SCHARON, JOEL EFRAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:EFRAIN
Last Name:NIEVES SCHARON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1019 AVENUE LUIS VIGOREAUX DORAL PLAZA
Mailing Address - Street 2:APARTMENT 10L
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-342-2584
Mailing Address - Fax:
Practice Address - Street 1:400 AVE FRANKLIN D. ROOSEVELT
Practice Address - Street 2:CLINICA LAS AMERICAS SUITE 205
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923
Practice Address - Country:US
Practice Address - Phone:787-763-5164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR019927207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine