Organization
NOVA THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL D NIEVES-RIVERA (PRESIDENT)
(787) 674-4283
Entity
Organization
Contact information
Practice address
2231 PASEO AMAPOLA, URB LEVITOWN, TOA BAJA, PR 00949-4310
(787) 674-4283
Mailing address
2231 PASEO AMAPOLA, URB LEVITOWN, TOA BAJA, PR 00949-4310
(787) 674-4283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3466
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3466
PROFESSIONAL LICENSE
PR
Enumeration date
08/17/2014
Last updated
08/17/2014
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