Organization
CENTRO PSICOLOGICO EKILIBRIO CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALKY I RIVERA PSY.D (OWNER)
(787) 515-0255
Entity
Organization
Contact information
Practice address
CARR PR119 KM 02, BO PUEBLO, HATILLO, PR 00659
(787) 820-3099
Mailing address
HC 77 BOX 7721, VEGA ALTA, PR 00692-9718
(787) 515-0255
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3482
PR
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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