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Contact Information

IVAN L VIERA SAN MARTIN, MSN
78 PLAZA FABIOLA
ESTANCIAS DE CERRO GORDO
VEGA ALTA, PR00692-9125
 Phone: 787-717-2568
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for IVAN L VIERA SAN MARTIN · (Male)

NPI Number 1144787458
Status Active
Credentials MSN
Entity Individual
Enumeration date 02/22/2019
Last updated 02/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # E1779
  • PR Other 1187382 DRIVER LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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