Individual
MIGUEL A. NIEVES RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
355 AVE FONT MARTELO, HUMACAO, PR 00791-3249
(787) 852-0768
Mailing address
P.O. BOX 2017 #221, LAS PIEDRAS, PR 00771-2017
(787) 639-4903
(787) 739-8190
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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