Active NPI
Monica Nieves, MT
- Clinical Laboratory Director (Non-physician)
- Isabela, PR
National Provider Identifier
1306072848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- License
- 6953
- Practice address
- Ave Noel Estrada
Apt 737
Isabela, PR 00662 - Phone
- (787) 830-2747
- Fax
- (787) 830-0465
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | 6953 | PR | Primary |
Addresses
Primary practice location
Ave Noel Estrada
Apt 737
Isabela, PR 00662
Mailing address
PO Box 737
Isabela, PR 00662-0737
Phone (787) 590-7961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6953 | PR | MD | Clinical Laboratory Director (Non-physician) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1306072848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 737",
"city": "ISABELA",
"state": "PR",
"postal_code": "006620737",
"telephone_number": "787-590-7961",
"fax_number": "787-830-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE NOEL ESTRADA",
"address_2": "APT 737",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-830-2747",
"fax_number": "787-830-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "MONICA",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "PR",
"license": "6953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.