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NPI Code Detail

MEDICARE: CRISTINA NEVAREZ DE JESUS M.D.

MEDICARE:   CRISTINA  NEVAREZ DE JESUS  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
1207R00000XInternal Medicine Physician12451 IPR
2207R00000XInternal Medicine Physician18428PR
3207RG0300XGeriatric Medicine (Internal Medicine) Physician18428PR

General Provider Information

NPI Number : 1588897755
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA NEVAREZ DE JESUS M.D.
Provider Business Mailing Address
First Line : 64 CALLE CEREZO
Second Line : URB FINCA ELENA
City : GUAYNABO
State : PR
Zip : 00971
Country : US
Telephone Number : 787-743-1985
Fax Number : 787-744-6276
Provider Business Practice Location Address
First Line : 1699 CALLE PARANA
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-3143
Country : US
Telephone Number : 787-751-2395
Fax Number : 787-751-2493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2009
Last Update Date : 06/14/2021

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