Niosiris Nieves Ortiz

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8215 Issued in PR

Practice address

900 Calle Cerra
San Juan, PR 00907-5104

Phone

(787) 480-3788

NPI assigned

Jan 13, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Ponce School of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toa Alta, PR
  • NPI 1639372618

  PR

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  • Radiology Clinic/Center
  • Toa Alta, PR
  • NPI 1083086565
  NPD
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1013727809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES DE CATANO CALLE GUANABANA P-9",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CALLE CERRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009075104",
            "telephone_number": "787-480-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES ORTIZ",
        "first_name": "NIOSIRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Marie Nieves Martinez
• Kathleen Nieves Mas, MD
• Amairy Nieves Medina, BSN
• Marie Lisabeth II Nieves Nieves, MS-SLP
• Nilmar Nieves Ortiz, MD
• Omar Nieves Ortiz, M.D.
• Indira Nieves Quiles, MD, MPH
• Daniela Nieves Rivera, M.A.
• Francheska Minelly Nieves Rodriguez, MD
• Joel Efrain Nieves Scharon, M.D.

• All providers in San Juan, PR
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.