Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gustavo Nieves

Individual provider Clinical Psychologist · NPI 1710879671

Gustavo Nieves is a Clinical Psychologist in Moca, Puerto Rico. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
3
Licensed in
PR
In the registry since
2025

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Carr 110 Km 13.1 Int Urb Estancias Villa Elena Bo Puebl
Moca, PR 00676
Phone: (787) 955-6233

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 008472 (PR)

Record details

NPI number1710879671
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address545 Calle Gabriel Cardona, Moca, PR 00676-4575

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moca