Provider Demographics
NPI:1215301007
Name:BORROTO PEREZ, NIUVER
Entity type:Individual
Prefix:
First Name:NIUVER
Middle Name:
Last Name:BORROTO PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9919 RICHMOND AVE APT 803
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4505
Mailing Address - Country:US
Mailing Address - Phone:832-282-0762
Mailing Address - Fax:
Practice Address - Street 1:9919 RICHMOND AVE APT 803
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4505
Practice Address - Country:US
Practice Address - Phone:832-282-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX246ZC0007XOtherC-SA