Organization
INTEGRATED MENTAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO R RIVERA PSY.D. (PRESIDENTE)
(787) 462-0969
Entity
Organization
Contact information
Practice address
CARRETERA 693 KM 13.8 EDIFICIO BRISAS DEL MAR, BO SABANA, VEGA ALTA, PR 00692
(787) 604-0186
Mailing address
530 CAMINO LOS AQUINOS, APARTAMENTO 178, TRUJILLO ALTO, PR 00976-7901
(787) 462-0969
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2797
PR
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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