Carlos Miguel Nieves Mendez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2863 Issued in PR

Practice address

517 Calle Concepcion Vera # a-1
Moca, PR 00676-5073

Phone

(787) 284-0000

NPI assigned

Oct 29, 2010

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1902106537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 59 BOX 6126",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029659",
            "telephone_number": "787-363-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CALLE CONCEPCION VERA # A-1",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765073",
            "telephone_number": "787-284-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES MENDEZ",
        "first_name": "CARLOS",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millianetsie Nieves Gonzalez, PH.D.
• Gilmarie Nieves Lassalle
• Nieves Lopez Primary MD PSC
• Nieves Lopez PSC
• Noel Nieves Lopez, MD
• Abnel Nieves
• Blanca Nieves
• Gustavo Nieves
• Nillian L Guzman Laboratorio Clinico Familiar
• North Shore Emergency LLC

• Dentist in Moca, PR
• Providers in Moca, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.