Jose Angel Nieves

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001085-P.A. Issued in PR

Practice address

Innovative Care Servics
Vega Baja, PR 00693-7229

Phone

(787) 955-1311

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1760266126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4767",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006597229",
            "telephone_number": "787-955-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INNOVATIVE CARE SERVICS",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006937229",
            "telephone_number": "787-955-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "001085-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Liliana Negron, DOULA
• Edgar A. Nevarez-Sostre, M.D.
• New Thinkers Therapy Corp
• Monica Nieves Colon, OD
• Dartagnan Nieves-Layes
• North in Hospital Physicians
• North Shore Medical Group LLC
• Nuestra Farmacia Y Colmado Alturas Inc
• Josue Alejandro Ocasio Tapia, MD
• Idalia M Ojeda, MA

• Medical Physician Assistant in Vega Baja, PR
• Providers in Vega Baja, 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 Aug 24, 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.