Provider Demographics
NPI:1194498998
Name:NIEVES BORGES, ROSAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROSAN
Middle Name:
Last Name:NIEVES BORGES
Suffix:
Gender:F
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:HC 6 BOX 75382
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9514
Mailing Address - Country:US
Mailing Address - Phone:939-633-8858
Mailing Address - Fax:606-777-7989
Practice Address - Street 1:CARR 796 KM 0.8 BO. RIO CANAS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:939-633-8858
Practice Address - Fax:606-777-7989
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22429208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice