Individual
JOSE G NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16501 NW 2ND AVE, MIAMI, FL 33169-6005
(305) 354-4558
(305) 354-3884
Mailing address
16501 NW 2ND AVE, MIAMI, FL 33169-6005
(305) 354-4558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME57329
FL
207RN0300X
Nephrology Physician
Primary
57329
FL
207RN0300X
Nephrology Physician
MR57329
FL
Other
Enumeration date
04/08/2006
Last updated
03/21/2019
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