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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003909276 NPPES
Colorado MEDICAID 04732863
Colorado MEDICAID B9615

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