Provider Demographics
NPI:1528128832
Name:TORRES-NIEVES, JAVIER A (MD)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:A
Last Name:TORRES-NIEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1177
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-1177
Mailing Address - Country:US
Mailing Address - Phone:787-852-0768
Mailing Address - Fax:787-687-7691
Practice Address - Street 1:355 CALLE FONT MARTELO
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3249
Practice Address - Country:US
Practice Address - Phone:787-366-2969
Practice Address - Fax:787-687-7691
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15687208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice