Individual
MARTIN D RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
# 79 DR. BASORA, MAYAGUEZ, PR 00680
(787) 616-1565
Mailing address
CALLE DR. BASORA # 79, MAYAGUEZ, PR 00680
(787) 616-1565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2274
PR
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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