Provider Demographics
NPI:1952535346
Name:VALENTIN NIEVES, JULIO J (MD)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:J
Last Name:VALENTIN NIEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350, CARR 844,ALTURAS DEL BOSQUE
Mailing Address - Street 2:APT.#2705
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7843
Mailing Address - Country:US
Mailing Address - Phone:787-378-3138
Mailing Address - Fax:787-276-2732
Practice Address - Street 1:668 HERNANDEZ CARRION
Practice Address - Street 2:MANATI MEDICAL CENTER SUITE 203
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-918-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18343207R00000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease