Individual
GUSTAVO NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 110 KM 13.1 INT URB ESTANCIAS VILLA ELENA BO PUEBL, MOCA, PR 00676
(787) 955-6233
Mailing address
545 CALLE GABRIEL CARDONA, MOCA, PR 00676-4575
(787) 955-6233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008472
PR
Other
Enumeration date
07/16/2025
Last updated
07/23/2025
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