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General NPI Number Information
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NPI Number | 1770632572
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Entity Type | Individual
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Provider Name | CARLOS MANUEL NIEVES M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 100 PASEO SAN PABLO EDIF. DR. ARTURO CADILLA SUITE 202
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City | BAYAMON
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State | PR
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Zip | 00961-7019
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Country | US
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Telephone | 787-786-6792
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Fax | 787-798-5253
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Provider Business Mailing Address
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Address Line | 2000 CARR 8177 STE 26, PMB 522
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City | GUAYNABO
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State | PR
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Zip | 00966-3762
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Country | US
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Telephone | 787-786-6792
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Fax | 787-798-5253
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 10855
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 10855
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License Number State | PR
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