Dr. Genaro Antonio Marcial Nieves, MD
General Practice in Sunrise, FL. Individual provider (NPI-1).
NPI number1497409643
StatusActive
Last updated in NPPESDec 2, 2024
Details
- NPI
- 1497409643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Genaro Antonio Marcial Nieves
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2022
- Certification date
- Dec 2, 2024
- Last updated
- Dec 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 24082 | PR | Yes |
Practice location
8890 W Oakland Park Blvd Ste 100Sunrise, FL 33351-7223
Phone 954-741-3304 · Fax 754-222-6417
Mailing address
Po Box 250579Aguadilla, PR 00604-0579
Phone 787-223-7924
Other practice locations
Calle Concepcion Vera Ayala
Moca, PR 00676
Moca, PR 00676
Phone 787-877-8000
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