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NPI Code Detail

MEDICARE: JAMES TORRES NIEVES CRNA

MEDICARE: JAMES TORRES NIEVES CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist125634NY
2367500000XCertified Registered Nurse Anesthetist125634FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114492592
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES TORRES NIEVES CRNA
Provider Business Mailing Address
First Line : 39873 HIGHWAY 27 STE 101
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-7802
Country : US
Telephone Number : 863-331-6681
Fax Number :
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1273
Country : US
Telephone Number : 407-303-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2018
Last Update Date : 01/05/2023

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