Nieto, Michael

Nieto, Michael is an individual health care provider with primary practice located at 156 Ne 8Th St , Homestead FL 33030-4608. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Nieto, Michael can be contacted via phone (786) 404-3753.

Contact Information

Primary practice address
156 Ne 8Th St Homestead FL 33030-4608
Fax: (786) 404-3735
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1194440396
LBN Legal business name Nieto, Michael
Credentials PRESIDENT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2022
Last updated Oct 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194440396 NPPES
Florida MEDICAID 987150

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