Most Relevant Information
Provider Data
| NPI Number: | 1003390261 |
| Provider Name: | JOSE RAFAEL NIEVES-LOPEZ DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 655 |
Most Important Dates
| Enumeration Date: | 09/23/2018 |
| Last Updated: | 08/23/2022 |
Provider Practice Location
CARRETERA PR 402 KM 2.9 BARRIO QUEBRADA LARGA
LOCAL #6
ANASCO
PR
00610
Practice Location Phone/Fax
| Phone: | 7874640184 |
| Fax: |
Provider Mailing Location
166 CALLE CONFRATERNIDAD
MAYAGUEZ
PR
006806215
Provider Mailing Phone/Fax
| Phone: | 7874640184 |
| Fax: |