Provider Demographics
NPI:1932231339
Name:ALBINO NIEVE, MARIBEL (OTRL979)
Entity Type:Individual
Prefix:MRS
First Name:MARIBEL
Middle Name:
Last Name:ALBINO NIEVE
Suffix:
Gender:F
Credentials:OTRL979
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BO PALOMAS CALLE M
Mailing Address - Street 2:#7
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-485-4557
Mailing Address - Fax:
Practice Address - Street 1:CALLE PASARELL
Practice Address - Street 2:#26
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-485-4557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR979OTRL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist