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Individual

DR. YDSIA J RIVERA VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
AVENIDA AMERICO MIRANDA 1422, URB CAPARRA TERRACE, SAN JUAN, PR 00921
(787) 783-8738
Mailing address
100 CALLE 5, APT C 11 UNIVERSAL PLAZA, TRUJILLO ALTO, PR 00976
(787) 783-8738

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2139
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
219168
PREFERRED HEALTH
PR
01
3185
APS
PR
01
A644
FIRST MEDICAL
PR
Enumeration date
05/02/2007
Last updated
07/08/2007
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