Provider Demographics
NPI:1689568198
Name:NIEVES-FIGUEROA, RAFAEL (RESIDENT IN COUN)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:NIEVES-FIGUEROA
Suffix:
Gender:M
Credentials:RESIDENT IN COUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 HOLMES RUN PKWY STE C4
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2860
Mailing Address - Country:US
Mailing Address - Phone:703-379-7350
Mailing Address - Fax:
Practice Address - Street 1:5500 HOLMES RUN PKWY STE C4
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2860
Practice Address - Country:US
Practice Address - Phone:703-379-7350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704018071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health