Nieves, Ricardo A
Nieves, Ricardo A is an individual health care provider with primary practice located at 1437 Riverside Ave , Fort Collins CO 80524-4324. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Nieves, Ricardo A can be contacted via phone (970) 692-5550.Contact Information
Primary practice address
1437 Riverside Ave
Fort Collins CO 80524-4324
Phone: (970) 692-5550
Fax: (970) 692-5561
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 2000325 | New Mexico |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 40977 | Colorado |
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine | 204R00000X | 40977 | Colorado |
Profile Details
NPI number | 1003909276 |
---|---|
LBN Legal business name | Nieves, Ricardo A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Nov 16th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003909276 | NPPES |
Colorado | MEDICAID | 04732863 | |
Colorado | MEDICAID | B9615 |
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