Roberto E Nieves, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2484 Issued in PR

Practice address

Carretera # 3 K.M. 11.7
Plaza Guzman - Marginal Lomas de Carolina
Carolina, PR 00987

Phone

(787) 762-4629

Fax

(787) 276-6531

NPI assigned

Feb 2, 2007

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942348636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2025",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009842025",
            "telephone_number": "787-762-4629",
            "fax_number": "787-276-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA # 3 K.M. 11.7",
            "address_2": "PLAZA GUZMAN - MARGINAL LOMAS DE CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-762-4629",
            "fax_number": "787-276-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "ROBERTO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ednovi Nieves Davila, LND, RDN
• Migdalia Nieves Garcia
• Cynthia Luz Nieves Velazquez
• Militza Nieves, RPT
• Mirayda Nieves
• Wilfredo Nieves, MD
• Alma N Nigaglioni, M.S.
• Nilda G. Medina
• NN Primary and Preventive Care
• Noel Medina Gonzalez

• General Practice Dentistry in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.