MEDICARE: DR. PEDRO LUIS NIEVES GARNICA I M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	8116	PR

General Provider Information

NPI Number	:	1225014061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO LUIS NIEVES GARNICA I M.D.

Provider Business Mailing Address
First Line	:	DELCASSE 20, APT. 1103
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1698
Country	:	US
Telephone Number	:	787-767-4853
Fax Number	:	787-767-4853

Provider Business Practice Location Address
First Line	:	334 OFICINA 1 AVE. AMERICO MIRANDA
Second Line	:	URB VILLA NEVAREZ
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4721
Country	:	US
Telephone Number	:	787-767-4853
Fax Number	:	787-767-4853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	08/14/2023

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