Individual
LUIS RIVERA SANTIAGO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1215 AVE FD ROOSEVELT, SAN JUAN, PR 00920-2804
(787) 690-0598
Mailing address
1215 AVE FD ROOSEVELT, SAN JUAN, PR 00920-2804
(787) 690-0598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9458
PR
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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