CARLOS H NIETO (NPI# 1982649398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982649398 |
| Entity Type | Individual |
| Full Name | CARLOS H NIETO |
| Credential | MD |
| Practice Address |
300 Tollgate Rd Suite 301a Warwick RI 02886 |
| Practice Telephone | 4017394844 |
| Practice Fax Number | 4017394415 |
| Mailing Telephone | 4017394844 |
| Mailing Fax Number | 4017394415 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-11-25 |
| NPI Deactivation Date | 11/10/2008 |
| NPI Reactivation Date | 2008-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 04725 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | RI BLUE CROSS | 2279-4 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013047919 | Carlos Nieto Jr. | Pediatrics | 701 W 5th St, Odessa, TX 79763-4206 | 2007-03-07 |
| Street Address |
300 TOLLGATE RD SUITE 301A |
| City | WARWICK |
| State | RI |
| Zip Code | 02886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437223195 | Leena Davis | Pediatrics | 300 Tollgate Rd, Warwick, RI 02886 | 2006-11-17 |
| 1093828576 | Frank A Baffoni | Internal Medicine | 300 Tollgate Rd, Ste 207, Warwick, RI 02886 | 2006-08-17 |
| 1174533137 | David Michael Mayer | Internal Medicine | 300 Tollgate Rd, Ste 202, Warwick, RI 02886-4447 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952328775 | Vincent J Gulfo Md PC | Neuromusculoskeletal Medicine, Sports Medicine | 153 Route 94 S, Warwick, NY 10990-3658 | 2006-07-16 |
| 1801893367 | Polly E Leonard | Neuromusculoskeletal Medicine, Sports Medicine | 390 Tollgate Road, Suite 203, Warwick, RI 02886 | 2005-06-30 |
Please comment or provide details below to improve the information on CARLOS H NIETO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.