Individual
KARLA NICOLE NIEVES BORRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3521 HAWORTH DR FL 2, RALEIGH, NC 27609-7244
(919) 782-1806
(919) 782-4756
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-4756
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2021-01751
NC
207RG0100X
Gastroenterology Physician
270514
MA
207RG0100X
Gastroenterology Physician
ME138330
FL
390200000X
Student in an Organized Health Care Education/Training Program
NOT APPLICABLE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101429500
—
FL
01
—
104XQ
BLUE CROSS AND BLUE SHIELD OF FLORIDA
FL
01
—
2021-01751
NORTH CAROLINA MEDICAL LICENSE
NC
Enumeration date
04/30/2010
Last updated
01/17/2024
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