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Individual

JOSEPH NOEL NIEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190
(305) 253-5100
Mailing address
2315 W MURPHY DR, DUNLAP, IL 61525-9445
(201) 681-2569

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME130572
FL
208D00000X
General Practice Physician
18570
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02249550
FL
05
JE608Z
FL
Enumeration date
07/27/2009
Last updated
07/17/2018
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