Provider Demographics
NPI:1710956909
Name:NIEVES-ROBBINS, NERIS MILAGROS (MD)
Entity Type:Individual
Prefix:
First Name:NERIS
Middle Name:MILAGROS
Last Name:NIEVES-ROBBINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11408 HUGGINS MEYER RD SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-3617
Mailing Address - Country:US
Mailing Address - Phone:253-968-2130
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN US ARMY MEDICAL CENTER RADIOLOGY MCHJ-DR
Practice Address - Street 2:BLDG 9040 FITZSIMMONS DRIVE FORT LEWIS
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350813162085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology