Elizabeth Nieves Garcia

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10202 Issued in PR

Practice address

69 Calle Corchado Ste 2
Canovanas, PR 00729-3285

Phone

(787) 643-6240

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1205523289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CALLE CORCHADO STE 2",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293285",
            "telephone_number": "787-643-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CALLE CORCHADO STE 2",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293285",
            "telephone_number": "787-643-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES GARCIA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Violeta Mujica, M.D.
• Multy Therapy Kids
• National Medical Centers Inc
• Lizeyla Esther Nicolau
• Ginnette Nieves Aguilar, PSYD
• Gabriela Sofia Nieves Martir, PHARMD
• Ana G Nieves, PH
• Mariel Nunez Rivera, OTL
• Nora E O'Farrill Herrera, O.D.
• Johanna O'Neill, MSW

• Clinical Social Worker in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.