Healthcare Provider Details

I. General information

NPI: 1487562807
Provider Name (Legal Business Name): ANTONIA MARIA NIEVES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G1 CALLE CHIPRE
CAGUAS PR
00727-6729
US

IV. Provider business mailing address

G1 CALLE CHIPRE
CAGUAS PR
00727-6729
US

V. Phone/Fax

Practice location:
  • Phone: 787-329-2376
  • Fax:
Mailing address:
  • Phone: 787-329-2376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number9652
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: