Individual
NIEVES IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
448 LAKESHORE PKWY STE 110, ROCK HILL, SC 29730-4264
(803) 329-3177
(803) 329-3319
Mailing address
448 LAKESHORE PKWY STE 110, ROCK HILL, SC 29730-4264
(803) 329-3177
(803) 329-3319
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
15921
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05132
BCBS OF FL
FL
01
—
141512080
CHAMPUS
FL
05
—
262894500
—
FL
Enumeration date
08/08/2006
Last updated
09/10/2025
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