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NPI Code Detail

MEDICARE: DR. ALBAROSA ALICEA NIEVES PSYD

MEDICARE:  DR. ALBAROSA  ALICEA NIEVES  PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist3844PR

General Provider Information

NPI Number : 1336446301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBAROSA ALICEA NIEVES PSYD
Provider Business Mailing Address
First Line : 115 CALLE BELT
Second Line :
City : AGUADILLA
State : PR
Zip : 00603-1105
Country : US
Telephone Number : 787-672-1540
Fax Number : 787-476-5694
Provider Business Practice Location Address
First Line : 115 CALLE BELT
Second Line :
City : AGUADILLA
State : PR
Zip : 00603-1105
Country : US
Telephone Number : 787-672-1540
Fax Number : 787-476-5694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2011
Last Update Date : 05/21/2026

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