Individual
LYSAMAR RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BO. QUEBRADILLAS CARR. 152 KM. 22, BARRANQUITAS, PR 00794
(787) 487-2803
Mailing address
HC 3 BOX 8675, BARRANQUITAS, PR 00794-8460
(787) 487-2803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001260
PR
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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