Active NPI
Lisette Nieves, MRC
- Rehabilitation Counselor
- Las Piedras, PR
National Provider Identifier
1063076792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 681
- Practice address
- 98 Cnogal
Urb Mansiones de Los Artesanos
Las Piedras, PR 00771 - Phone
- (787) 391-8855
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 681 | PR | Primary |
Addresses
Primary practice location
98 Cnogal
Urb Mansiones de Los Artesanos
Las Piedras, PR 00771
Mailing address
Ave Marcelito Gotay
Fajardo, PR 00738
Phone (787) 852-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 681 | PR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1063076792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE MARCELITO GOTAY",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-852-1400",
"fax_number": "787-801-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 CNOGAL",
"address_2": "URB MANSIONES DE LOS ARTESANOS",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "787-391-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "LISETTE",
"name_prefix": "Mrs.",
"credential": "MRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": "PR",
"license": "681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.