Miguel A. Nieves Rivera, PHD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5963 Issued in PR

Practice address

355 Ave Font Martelo
Humacao, PR 00791-3249

Phone

(787) 852-0768

NPI assigned

Sep 22, 2015

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 10

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Migrant Health Center Western Region,Inc

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
  • NPI 1609969286
  Medicare reassignment
• Migrant Health Center Western Region, Inc.

  • Clinic Pharmacy
  • Yauco, PR
  • NPI 1093262297
  NPD
• Migrant Health Center Western Region, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
  • NPI 1104544378
  NPD

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1205205135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2017 #221",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007712017",
            "telephone_number": "787-639-4903",
            "fax_number": "787-739-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 AVE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913249",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043301",
            "country_code": "US",
            "telephone_number": "413-736-0395",
            "fax_number": "413-734-1651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ave. El Jibaro Carr. 172 Km 13.5",
            "address_2": "Int. Bo. Bayamon",
            "address_purpose": "LOCATION",
            "city": "Cidra",
            "state": "PR",
            "postal_code": "00739",
            "country_code": "US",
            "telephone_number": "787-739-8182 x1200",
            "fax_number": "787-739-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES RIVERA",
        "first_name": "MIGUEL",
        "middle_name": "A.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNE",
            "identifier": "12529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "71756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1134107113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCA",
            "identifier": "042622756",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y10086",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "997303",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Alejandra Negron Monllor
• Irma S Negron
• Miguel A Negron, RN
• New Time Care Inc.
• Next G Corp (Farmacia Savia 7)
• Linnette Nieves-Lozada, AUD, F-AAA
• Adam Nieves, D.C.
• Nova Infusion & Compounding Pharmacy
• Eugenio Nunez, MD
• Nuscan Humacao

• Clinical Psychologist in Humacao, PR
• Providers in Humacao, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.