Provider Demographics
NPI:1003052994
Name:MADERA-COLON, NIEVES H (MS/ED)
Entity Type:Individual
Prefix:MRS
First Name:NIEVES
Middle Name:H
Last Name:MADERA-COLON
Suffix:
Gender:F
Credentials:MS/ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2058 NEWBOLD AVE
Mailing Address - Street 2:APT. 2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-4512
Mailing Address - Country:US
Mailing Address - Phone:917-549-9918
Mailing Address - Fax:
Practice Address - Street 1:2058 NEWBOLD AVE
Practice Address - Street 2:APT. 2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-4512
Practice Address - Country:US
Practice Address - Phone:917-549-9918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist