# NIEVES-NIEVES, PULMONARY, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891298832
- **Authorized official:** JOSE J NIEVES (MD)
- **Authorized official phone:** (787) 365-1018

## Contact information

- **Practice address:** 10794 PINES BLVD, PEMBROKE PINES, FL 33026-3920
- **Practice address phone:** (954) 538-8543
- **Mailing address:** PO BOX 16357, PLANTATION, FL 33318-6357
- **Mailing address phone:** (787) 365-1018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME125202 | FL | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018