Individual
LISSANDRA RIVERA-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
C31 CALLE MADRE PERLA, URB DORADO DEL MAR, DORADO, PR 00646-2128
(787) 593-6467
Mailing address
PO BOX 903, ARECIBO, PR 00613-0903
(787) 593-6467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2129
PR
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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