Individual
DR. CARMEN LYDIA RIVERA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE 2 E-11, SANTA CRUZ, BAYAMON, PR 00961-3516
(939) 248-7323
(888) 251-9661
Mailing address
CHALETS DEL PARQUE, 12 AVE ARBOLOTE #144, GUAYNABO, PR 00969-5507
(939) 248-7323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2210
PR
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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