Carmen Milagros Nevares, M.D

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2909 Issued in PR

Practice address

Ave Ponce de Leon # 1717
2208 Plaza Inmaculada 2
San Juan, PR 00907-3380

Phone

(787) 587-8491

Fax

(787) 268-3704

NPI assigned

Jul 10, 2008

Last updated

Jul 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1801050711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON # 1717",
            "address_2": "2208 PLAZA INMACULADA 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073380",
            "telephone_number": "787-587-8491",
            "fax_number": "787-268-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON # 1717",
            "address_2": "2208 PLAZA INMACULADA 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073380",
            "telephone_number": "787-587-8491",
            "fax_number": "787-268-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVARES",
        "first_name": "CARMEN",
        "middle_name": "MILAGROS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "2909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurologicmd P.S.C.
• Neuromovement MMG, LLC
• Neuroped Eye PR LLC
• Neurosurgical Oncology Group
• Neurovida LLC
• Mayra Nevares, PH.D.
• Ramon Vicente Nevares, MD
• Roberto Luis Nevares, MD
• Mario R. Nevarez Alonso, M.D.
• Cristina Nevarez de Jesus, M.D.

• Primary Care Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.