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General NPI Number Information
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NPI Number | 1851569198
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Entity Type | Individual
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Provider Name | MARIELY NIEVES RIVERA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | CENTRO COMERCIAL PLAZA LAS BRISAS LOCAL #5 URB. MONTE BRISAS
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 939-287-6776
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Fax |
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Provider Business Mailing Address
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Address Line | URB RIVER EDGE HILLS 61 CALLE RIO SABANA
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City | LUQUILLO
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State | PR
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Zip | 00773
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Country | US
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Telephone | 939-287-6776
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3015
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License Number State | PR
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