| Doctor Name: | MR. ANGEL O NIEVES |
| NPI Number: | 1124443775 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 4150 |
| Business Practice Address: | 350 Via Aventura Apt 7104 Trujillo Alto, PR - 009766190 |
| Business Phone Number: | 7873445687 |
| Business Fax Number: | |
| Mailing Address: | 350 Via Aventura Apt 7104, TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 009766190 |
| Phone Number: | 7873445687 |
| Fax Number: | |
| NPI Enumeration Date: | 02/19/2014 |
| NPI Last Update Date: | 02/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 4150 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |