Provider Demographics
NPI:1902866437
Name:NIEVES RAMIREZ, ARNALDO M (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:M
Last Name:NIEVES RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:376 CALLE GORRION
Mailing Address - Street 2:CAMINO DEL SUR
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2815
Mailing Address - Country:US
Mailing Address - Phone:787-284-0799
Mailing Address - Fax:
Practice Address - Street 1:7810 CALLE NAZARET
Practice Address - Street 2:URB SANTA MARIA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1008
Practice Address - Country:US
Practice Address - Phone:787-843-0348
Practice Address - Fax:787-840-8623
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12225207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0090116Medicare ID - Type Unspecified