Provider Demographics
NPI:1992322861
Name:NIEVES, ARLENE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:NIEVES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 AVE JESUS T PINERO APT 21O
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4167
Mailing Address - Country:US
Mailing Address - Phone:787-925-6181
Mailing Address - Fax:
Practice Address - Street 1:200 AVE JESUS T PINERO APT 21O
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4167
Practice Address - Country:US
Practice Address - Phone:787-925-6181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty