Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Wanda Ivelisse Nieves-Moreno, DC

Individual provider Chiropractor · NPI 1891780037

Dr. Wanda Ivelisse Nieves-Moreno, DC is a Chiropractic in Brandon, Florida. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

654 E Bloomingdale Ave
Brandon, FL 33511-8111
Phone: (813) 685-5200
Fax: (813) 654-8758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH8811 (FL)

Record details

NPI number1891780037
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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