Provider Demographics
NPI:1740495407
Name:NIEVES-OLMO, RAMON H (MS)
Entity type:Individual
Prefix:MR
First Name:RAMON
Middle Name:H
Last Name:NIEVES-OLMO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 23265
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-8918
Mailing Address - Country:US
Mailing Address - Phone:787-547-6362
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 23265
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-8918
Practice Address - Country:US
Practice Address - Phone:787-547-6362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR55391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical