Carlos Renaldo Nieves Martinez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

8882 Issued in PR

Practice address

Carretera#2 KM 63.1
Candelaria
Arecibo, PR 00612

Phone

(787) 881-4228

Fax

(787) 881-4228

NPI assigned

Oct 4, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1407941792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641",
            "city": "SABANA HOYOS",
            "state": "PR",
            "postal_code": "00688",
            "telephone_number": "787-881-4228",
            "fax_number": "787-881-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA#2 KM 63.1",
            "address_2": "CANDELARIA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-881-4228",
            "fax_number": "787-881-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "RENALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Dimension Patient Services, Inc.
• New Dimension Patient Services, Inc.
• New Dimension Patient Services, Inc.
• Next Level Therapy Group LLC
• Richard Nieves Hernandez, PSY.D
• Jose L Nieves Picon, MD
• Luis Jose Nieves Rivera, MD
• Elsa Nieves Soto, RPT, MPT
• Ashly Nieves Zayas
• Bernabe Nieves-Soto, RN,MSWAC

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, 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 18, 2011; 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.