Provider Demographics
NPI:1972838811
Name:GARCIA NIEVES, ANA M (PMR)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:GARCIA NIEVES
Suffix:
Gender:F
Credentials:PMR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BDA RODRIGUEZ
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-2380
Mailing Address - Country:US
Mailing Address - Phone:787-455-2403
Mailing Address - Fax:
Practice Address - Street 1:CARR 111 KM 8.2
Practice Address - Street 2:BO VOLADORA
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-877-5694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18347208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation