Provider Demographics
NPI:1740302595
Name:NIEVES GARCIA, MIGDALIA
Entity type:Individual
Prefix:MRS
First Name:MIGDALIA
Middle Name:
Last Name:NIEVES GARCIA
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 6771
Mailing Address - Street 2:BO. CAMPO RICO
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-7909
Mailing Address - Country:US
Mailing Address - Phone:787-550-0297
Mailing Address - Fax:787-752-6246
Practice Address - Street 1:CENTRO COMERCIAL MONSERRATE PLAZA
Practice Address - Street 2:AVENUE MONSERRATE, VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-752-6246
Practice Address - Fax:787-762-4070
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4367OtherPHARMACIST LICENCE