| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NICOLE VIERA JIMENEZ | 1396400073 | 2022-12-19 |
Nicole Viera Jimenez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396400073. Registration indicates Nicole Viera Jimenez is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Pharmacy Service Providers, Pharmacist) (Pharmacist: Pharmacist Clinician (PhC),/ Clinical Pharmacy Specialist, ) (Pharmacist Pharmacist Clinician (PhC),/ Clinical Pharmacy Specialist, Pharmacy Service Providers) (Pharmacist, )
| Entity Type | Individual |
| Provider Name | Nicole Viera Jimenez |
| Practice Office Address | 17000 CARR 3 CANOVANAS, PR US |
| Practice Office Telephone | 7879578050 |
| Practice Office Fax | 7879578049 |
| Mailing Address | 4 CALLE GRAN CANARIA LAS PIEDRAS, PR 007713075 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4 Calle Gran Canaria | Las Piedras, PR 007713075 | 7872387333 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 1835P0018X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist: Pharmacist Clinician (PhC),/ Clinical Pharmacy Specialist Pharmacist Pharmacist Clinician (PhC),/ Clinical Pharmacy Specialist Pharmacy Service Providers Pharmacist | 8003
PR |