Healthcare Provider Details
I. General information
NPI: 1659209260
Provider Name (Legal Business Name): NEVAREZ MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 CALLE HERMINIO MIRANDA
MOROVIS PR
00687-3032
US
IV. Provider business mailing address
1 CALLE HERMINIO MIRANDA
MOROVIS PR
00687-3032
US
V. Phone/Fax
- Phone: 787-663-2289
- Fax:
- Phone: 787-663-2289
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SHERLY
A
NEVAREZ MARTINEZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-904-1831