MEDICARE: MIGUEL ANGEL LIMA NIEVES ARNP

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
1	363LF0000X	Family Nurse Practitioner	9433198	FL

General Provider Information

NPI Number	:	1710463070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGUEL ANGEL LIMA NIEVES ARNP

Provider Business Mailing Address
First Line	:	24462 SW 117TH PATH
Second Line	:
City	:	PRINCETON
State	:	FL
Zip	:	33032-3396
Country	:	US
Telephone Number	:	305-305-0582
Fax Number	:

Provider Business Practice Location Address
First Line	:	14788 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4070
Country	:	US
Telephone Number	:	786-272-9170
Fax Number	:	786-580-5173

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2018
Last Update Date	:	12/10/2025

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