Individual
DR. JOSE JOAQUIN NIEVES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10794 PINES BLVD STE 205, PEMBROKE PINES, FL 33026-3920
(954) 538-8543
(954) 431-8153
Mailing address
PO BOX 16357, PLANTATION, FL 33318-6357
(305) 542-9075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18531
PR
207R00000X
Internal Medicine Physician
MD29679
ME
207RP1001X
Pulmonary Disease Physician
MD29679
ME
207RP1001X
Pulmonary Disease Physician
Primary
ME125202
FL
Other
Enumeration date
12/08/2009
Last updated
07/08/2025
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