Individual provider Active NPI

Jose Joaquin Nieves Jr., MD

  • Pulmonary Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1548599269
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME125202 Issued in FL
Practice address
10794 Pines Blvd Ste 205
Pembroke Pines, FL 33026-3920
Phone
(954) 538-8543
Fax
(954) 431-8153
NPI assigned
Dec 8, 2009
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18531 PR
Internal Medicine Physician 207R00000X MD29679 ME
Pulmonary Disease Physician 207RP1001X ME125202 FL Primary
Pulmonary Disease Physician 207RP1001X MD26927 HI
Pulmonary Disease Physician 207RP1001X MD29679 ME

Addresses

Primary practice location

10794 Pines Blvd Ste 205
Pembroke Pines, FL 33026-3920

Mailing address

PO Box 16357
Plantation, FL 33318-6357
Phone (305) 542-9075

Other practice location 1

8 Prospect St
Nashua, NH 03060-3925
Phone (603) 886-0290

Other practice location 2

4 Glen Cove Dr Ste 200
Rockport, ME 04856-4235
Phone (207) 301-3060

Other practice location 3

116 Northport Ave Ste 218
Belfast, ME 04915-6096
Phone (207) 505-4674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, AL, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160115001741 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4789987298 Reassigns benefits to 1 organization
I20250801003717 ME Practitioner - Pulmonary Disease 4789987298 Reassigns benefits to 2 organizations
I20250909002712 AL Practitioner - Pulmonary Disease 4789987298 Reassigns benefits to 1 organization
I20260521004535 AZ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4789987298

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, shared by 9 NPIs, 138 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, shared by 2 NPIs, 185 clinicians
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3730

1739 E Beverly Ave
Suite 203
Kingman, AZ 86409-3593
Phone (928) 681-8520

817 Princeton Ave SW
Suite 199
Birmingham, AL 35211-1350
Phone (205) 785-2557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18531PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 15, 2025 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 7, 2025 Accepting new patients
Mainehealth CurrentSince Sep 15, 2025 Accepting new patients
Baptist Health Centers LLC Specialist CurrentSince Jul 7, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

817 Princeton Ave SW
Ste 199
Birmingham, AL 35211
Phone (205) 780-1920

116 Northport Ave
Ste 218
Belfast, ME 04915
Phone (207) 338-1838

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

4 Glen Cove Dr
Ste 200
Rockport, ME 04856
Phone (207) 301-3060

Organizations & group practices 9

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1548599269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16357",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333186357",
            "telephone_number": "305-542-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-538-8543",
            "fax_number": "954-431-8153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603925",
            "country_code": "US",
            "telephone_number": "603-886-0290",
            "fax_number": "603-577-3228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Glen Cove Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564235",
            "country_code": "US",
            "telephone_number": "207-301-3060",
            "fax_number": "207-301-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Northport Ave Ste 218",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156096",
            "country_code": "US",
            "telephone_number": "207-505-4674",
            "fax_number": "207-560-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "JOSE",
        "middle_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "18531",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD29679",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME125202",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "MD26927",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ME",
            "license": "MD29679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.