Individual
MIGUEL A. NIEVES RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5963
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
CCA
MA
01
—
1134107113
BEACON
MA
01
—
1134107113
MBHP
—
05
—
1134107113
—
MA
01
—
12529
HNE
MA
01
—
71756
TUFTS
MA
01
—
997303
NETWORK HEALTH
MA
01
—
Y10086
MEDICARE
MA
Enumeration date
09/22/2015
Last updated
06/30/2023
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