Provider Demographics
NPI:1992190953
Name:NIEVES, LIZBEL
Entity Type:Individual
Prefix:DR
First Name:LIZBEL
Middle Name:
Last Name:NIEVES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 11105
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9651
Mailing Address - Country:US
Mailing Address - Phone:787-262-7870
Mailing Address - Fax:787-262-7876
Practice Address - Street 1:HC 3 BOX 11105
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-9651
Practice Address - Country:US
Practice Address - Phone:787-262-7870
Practice Address - Fax:787-262-7876
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist