Wanda I Nieves, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

016597 Issued in PR

Practice address

Callejones
HC01-4195
Lares, PR 00669

Phone

(787) 315-4824

Fax

(787) 650-8800

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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.

Enrollment records 1

Specialty

General Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Helwe CSPGroup PAC ID 8224215363, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Helwe CSP

  • Health Service Clinic/Center
  • Camuy, PR
  • NPI 1447579545
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1265570345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLEJONES",
            "address_2": "HC01-4195",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006694195",
            "telephone_number": "787-315-4824",
            "fax_number": "787-650-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLEJONES",
            "address_2": "HC01-4195",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-315-4824",
            "fax_number": "787-650-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "WANDA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "16597",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "016597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier E Moreno Echevarria
• Lyan M. Negron Morales
• Kristal Negroni Gonzalez, PHARM D
• Julio Antonio Nieves Soto
• Dalila Nieves-Serrano, PSY. D.
• Yelitza Nieves
• Nitro Emergency Care, Inc.
• Erika Nichole Ortiz Chaparro, MD
• Juan Antonio Otano Vega, MD
• Luis A. Pagan Cortes, M.D.

• General Practice Physician in Lares, PR
• Providers in Lares, 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 Aug 24, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.