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General NPI Number Information
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NPI Number | 1992395776
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Entity Type | Individual
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Provider Name | RICHARD NIEVES HERNANDEZ PSY.D
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Gender | Male
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 05/11/2025
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Provider Practice Location Address
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Address Line | AVE. RAFAEL COLON CASTRO #3, URB. RADIOVILLE SUITE 2
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City | ARECIBO
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State | PR
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Zip | 00612-2715
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Country | US
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Telephone | 939-244-7013
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 8054
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City | HATILLO
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State | PR
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Zip | 00659-7360
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Country | US
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Telephone |
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6529
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License Number State | PR
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