Provider Demographics
NPI:1417702242
Name:NIEVES RIVERA, DANIELA (MA)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:NIEVES RIVERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 71 BOX 3323
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-9533
Mailing Address - Country:US
Mailing Address - Phone:787-533-3258
Mailing Address - Fax:
Practice Address - Street 1:463 CALLE FERNANDO CALDER
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2769
Practice Address - Country:US
Practice Address - Phone:787-612-9790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6848103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty