Basic Information
| Provider Information | |||||||||
| NPI: | 1023763117 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NIEVES-LOZADA | ||||||||
| FirstName: | LINNETTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 193069 | ||||||||
| Address2: | |||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009193069 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877610036 | ||||||||
| FaxNumber: | 7872925050 | ||||||||
| Practice Location | |||||||||
| Address1: | 2D27 AVE PINO | ||||||||
| Address2: | |||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007256254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877435054 | ||||||||
| FaxNumber: | 7872925050 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/16/2022 | ||||||||
| LastUpdateDate: | 02/16/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 001491-2 | PR | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.