Organization Active NPI

Nieves Medical Center, LLC

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1073004214
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NIEVES MEDICAL CENTER, LLC
Practice address
1140 W 50TH St Ste 207
Hialeah, FL 33012
Phone
(786) 540-2363
Fax
(305) 456-3070
NPI assigned
May 23, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Teresa Rivero
Title
Owner
Phone
(786) 972-0392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1140 W 50TH St Ste 207
Hialeah, FL 33012

Mailing address

1140 W 50TH St Ste 207
Hialeah, FL 33012-3438
Phone (786) 540-2363

National Provider Directory

National Provider Directory

Locations

1140 W 50th St
Ste 207
Hialeah, FL 33012
Phone (786) 540-2363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1073004214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 207",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123438",
            "telephone_number": "786-540-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 207",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "786-540-2363",
            "fax_number": "305-456-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEVES MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-972-0392"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.