Ricardo Jose Nieves

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036089692 Issued in IL

Legal business name

RICARDO JOSE NIEVES

Practice address

1044 N Francisco Ave
Chicago, IL 60622-2743

Phone

(773) 292-8254

NPI assigned

Sep 28, 2016

Last updated

Oct 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mari Goudy

Title

Office Manager

Phone

(773) 292-8254

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1912456195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-292-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO JOSE NIEVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "GOUDY",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-292-8254"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036089692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089692",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912456195",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luciana Ribeiro, M.D.; PH.D.
• Sierra E Ribero, APN
• Dawn Ribnek
• Anela Ribo, PHARMD
• Jorjette Willy Ricafrente
• Ana C Ricardo, MD, MPH
• Francisco Antonio Ricaurte, MD
• Giannina G. Riccardi, LCSW
• Noah Ricchetti, PT
• Terrence Armand Ricci, DDS

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.