Individual provider Active NPI

Carlos Manuel Nieves, M.D.

  • Cardiovascular Disease Physician
  • Bayamon, PR
National Provider Identifier
1770632572
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10855 Issued in PR
Practice address
100 Paseo San Pablo
Edif. Dr. Arturo Cadilla Suite 202
Bayamon, PR 00961-7019
Phone
(787) 786-6792
Fax
(787) 798-5253
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 10855 PR
Cardiovascular Disease Physician 207RC0000X 10855 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo
Edif. Dr. Arturo Cadilla Suite 202
Bayamon, PR 00961-7019

Mailing address

2000 Carr 8177
Ste 26, PMB 522
Guaynabo, PR 00966-3762
Phone (787) 786-6792

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090129000289 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 5991869356 Reassigns benefits to 3 organizations
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Paseo San Pablo
Bayamon, PR 00961-7022
Phone (787) 786-6792

100 Paseo San Pablo
Edif. Dr. Arturo Cadilla Suite 202
Bayamon, PR 00961-7019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Cardiology PSC Cardiovascular Disease CurrentSince Jul 1, 2020 Accepting new patients
Recinto de Ciencias Medicas Cardiovascular Disease CurrentSince Sep 28, 2017 Accepting new patients
Recinto de Ciencias Medicas Cardiovascular Disease CurrentSince Sep 28, 2017 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Sep 28, 2017 Accepting new patients

Locations

100 Paseo San Pablo
Ste 202
Bayamon, PR 00961

Ccpr Primer Piso
Ste 4
San Juan, PR 00935
Phone 78775485001211

1er Piso
San Juan, PR 00935

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1770632572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CARR 8177",
            "address_2": "STE 26, PMB 522",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663762",
            "telephone_number": "787-786-6792",
            "fax_number": "787-798-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "EDIF. DR. ARTURO CADILLA SUITE 202",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-786-6792",
            "fax_number": "787-798-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "10855",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "10855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.