Individual
MS. IVELISSE AQUINO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE MAGA BO. MONACILLOS, SAN JUAN, PR 00925
(787) 203-3617
Mailing address
HC 6 BOX 6863, GUAYNABO, PR 00971-9600
(787) 203-3617
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5381
PR
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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