Individual
DR. GINNETTE M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
151 CALLE TANCA, SAN JUAN, PR 00901-1412
(787) 725-6500
Mailing address
16635 SPACEMORE, WOODBRIDGE, VA 22191-6383
(787) 220-8355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3934
PR
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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