Provider Demographics
NPI:1992203509
Name:NIEVES, OSCAR D (DC)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:D
Last Name:NIEVES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 MEDICAL BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1497
Mailing Address - Country:US
Mailing Address - Phone:239-369-1600
Mailing Address - Fax:239-369-6402
Practice Address - Street 1:1210 E OSCEOLA PKWY STE 302
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-1621
Practice Address - Country:US
Practice Address - Phone:407-807-0101
Practice Address - Fax:407-807-0008
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor