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General NPI Number Information
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NPI Number | 1992615868
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Entity Type | Organization
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Legal Business Name | NOVA HEALTH PUERTO RICO LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | CARR 2 KM 112.2
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City | ISABELA
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State | PR
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Zip | 00662
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Country | US
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Telephone | 787-594-5784
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | ISABELA
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State | PR
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Zip | 00662-0484
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Country | US
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Telephone | 787-594-5784
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. LUIS R NIEVES SR.
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Credential | MD
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Telephone | 787-594-5784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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