Teodulo Rafael Nieves, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

24975 Issued in PR

Practice address

47 Plaza Caobos
Trujillo Alto, PR 00976-6064

Phone

(787) 639-9767

NPI assigned

Jun 25, 2026

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1265358188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PLAZA CAOBOS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PLAZA CAOBOS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766064",
            "telephone_number": "787-639-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "TEODULO",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuro Voice Therapy LLC
• Next G Corp (Farmacia Savia 2)
• Ivelisse Nieves Castellano
• Karol Nieves Perez, RN ADN
• Cecilio Enrique Nieves, RNA
• Jackimarie Nunez Vellon, PHARMD.
• Nyortiz, LLC
• Liliana Alexandra O'Neill Cubano, MS, OT/L
• Elsa Batista Ocasio, MD
• Priscilla Cancel Olmo

• General Practice Physician in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.