Individual
MS. LYDIA RAQUEL RIVERA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.A.
Contact information
Practice address
BO. MONACILLOS CENTRO MEDICO, SAN JUAN, PR 00921
(787) 777-3535
(787) 763-1093
Mailing address
PO BOX 191079, SAN JUAN, PR 00919-1079
(787) 777-3535
(787) 763-1093
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
255
PR
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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