Individual
LOURDES GRACIELA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
151, AVE. OSVALDO MOLINA, FAJARDO, PR 00738
(787) 801-0081
(787) 522-3580
Mailing address
PO BOX 70006, FAJARDO, PR 00738-4013
(787) 801-0081
(787) 522-3580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9238
PR
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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