Individual
PRISCILA ELIZABETH NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
CALLE MCKINLEY W # 96, MAYAGUEZ, PR 00680-3988
(787) 833-0663
Mailing address
HC 1 BOX 3158, QUEBRADILLAS, PR 00678-9514
(787) 607-0168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14990
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZTA68103854801
CRUZ AZUL
PR
Enumeration date
07/09/2008
Last updated
07/09/2008
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