Organization
HUGO C. NIEVAS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO CARLOS NIEVAS M.D. (OWNER/AUTHORIZED AGENT)
(228) 860-3467
Entity
Organization
Contact information
Practice address
1017 44TH AVE, GULFPORT, MS 39501-2547
(228) 860-3467
Mailing address
PO BOX 1628, GULFPORT, MS 39502-1628
(228) 860-3467
(985) 643-9808
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
08451
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122342
—
MS
Enumeration date
04/24/2014
Last updated
06/09/2015
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