Individual
WILBERTO NIEVES NEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-139777
IL
207VX0201X
Gynecologic Oncology Physician
Primary
036139777
IL
207VX0201X
Gynecologic Oncology Physician
25MA07442500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990905
—
IL
05
—
8990905
—
NJ
Enumeration date
10/25/2006
Last updated
04/28/2021
Update your record
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