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Individual

JONATHAN RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9 ALTURAS DE INTERAMERICANA, N4, TRUJILLO ALTO, PR 00976
(787) 604-0002
Mailing address
9 ALTURAS DE INTERAMERICANA, N4, TRUJILLO ALTO, PR 00976

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TAC-III-05-20-9962
PR

Other

Enumeration date
01/25/2018
Last updated
01/25/2018
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