Active NPI
Jose A Nieves-Torres Sr., MD
- Surgery Physician
- Mayaguez, PR
National Provider Identifier
1265405567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 6411
- Practice address
- 55 Calle Dr Basora N
Mayaguez, PR 00680-4810 - Phone
- (787) 834-0086
- Fax
- (787) 834-0086
- NPI assigned
- Feb 8, 2006
- Last updated
- Oct 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6411 | PR | Primary |
Addresses
Primary practice location
55 Calle Dr Basora N
Mayaguez, PR 00680-4810
Mailing address
PO Box 2333
Dr Basora St 55 N
Mayaguez, PR 00681-2333
Phone (787) 834-0086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6411 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1265405567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2333",
"address_2": "DR BASORA ST 55 N",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006812333",
"telephone_number": "787-834-0086",
"fax_number": "787-834-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE DR BASORA N",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804810",
"telephone_number": "787-834-0086",
"fax_number": "787-834-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES-TORRES",
"first_name": "JOSE",
"middle_name": "A",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "6411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Neuropediatric Health LLC
- Nietos Emergency Associate Inc.
- Diana Krystina Nieves Castro, MD
- Edrick Nieves Gonzalez
- Karen Nieves Gonzalez, MD
- Priscila Elizabeth Nieves, MSW
- Yolanda Nieves, O.D.
- Nozomi Incorporado (Centro Nozomi)
- Genesis Maria Nunez
- Nutricare Enteral Alimentation, Inc. (Nutri Care & Home Medical Supply)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.