Individual
MYRNA GOMEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSIC
Contact information
Practice address
AQUAMARINA #66 URB. VILLA BLANCA, CAGUAS, PR 00725
(787) 743-1047
Mailing address
HC 03 BOX 14749, AGUAS BUENAS, PR 00703
(787) 312-8383
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1281
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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