| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LUIS MIGUEL NIETO | 1831719343 | 2023-05-06 |
Luis Miguel Nieto is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831719343. Registration indicates Luis Miguel Nieto is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Luis Miguel Nieto MD |
| Practice Office Address | 101 STADIUM DR MORGANTOWN, WV US |
| Practice Office Telephone | 3045984000 |
| Practice Office Fax | 3045984871 |
| Mailing Address | 101 STADIUM DR MORGANTOWN, WV 265067911 US |
| Business Telephone | 3045984000 |
| Business Fax | 3045984871 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |