Greshen Yolanda Domena Nieves, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1247 Issued in PR

Practice address

Ave Miramar Carretera #2 Estatal KM 78.7
Arecibo, PR 00612

Phone

(787) 878-5757

NPI assigned

Feb 15, 2023

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1457059883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144055",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006144055",
            "telephone_number": "787-878-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MIRAMAR CARRETERA #2 ESTATAL KM 78.7",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-878-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENA NIEVES",
        "first_name": "GRESHEN",
        "middle_name": "YOLANDA",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Fernando Diaz, D.C.
• Dmart Medical Equipment Corp
• Doctor Javier E Muskus and Associate C.S. P.
• Doctors Center Hospital Arecibo Inc
• Doctors Center Hospital Arecibo Inc
• Jayson Domenech Soto Sr., BSN
• Vivianna Maria Dominguez, PSYCHOLOGIST
• Daniella Dorta Lafontaine
• Dr Domenech Figueroa Rivera MD CSP
• Dr Millan Garcia PSC

• Medical Physician Assistant in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.