Individual
JOHANNIE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8169 CALLE CONCORDIA STE 412, PONCE, PR 00717-1567
(787) 284-5884
Mailing address
PO BOX 7793, PONCE, PR 00732-7793
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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