Dr. Wanda Ivelisse Nieves-moreno is a Brandon, Florida based female chiropractor with 21 years of experience in General Chiropractor. She completed her graduation from Other in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Wanda Ivelisse Nieves-moreno as General Chiropractor is CH8811 in Florida. Dr. Wanda Ivelisse Nieves-moreno is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Wanda Ivelisse Nieves-moreno speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
21+ years
Medical School Attended:
Other
Graduation Year:
2003
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
654 E Bloomingdale Ave, Brandon, Florida, 33511-8111
Phone:
813-685-5200
Fax:
813-654-8758
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3375569734
Enrollment ID:
I20051015000059
NPI Number:
1891780037
NPI Enumeration Date:
14 Sep, 2005
NPI Last Update On:
26 May, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Wanda Ivelisse Nieves-moreno are as mentioned below.
License Number
Specialization
State
Status
CH8811
Chiropractor
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Wanda Ivelisse Nieves-moreno such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
381946900
Medicaid
Florida
U6011Z
Other
Florida
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
654 E Bloomingdale Ave, Brandon, Florida
Zip:
33511-8111
Phone Number:
813-685-5200
Fax Number:
813-654-8758
Patients can reach Dr. Wanda Ivelisse Nieves-moreno at 654 E Bloomingdale Ave, Brandon, Florida or can call to book an appointment on 813-685-5200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.