Individual
CORALISS M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
CARRETERA 639 KM 2.3 INTERIOR, BARRIO SABANA HOYOS, ARECIBO, PR 00688
(787) 454-0530
Mailing address
HTC 05 BOX 25882, CAMUY, PR 00627
(787) 454-0530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1062
PR
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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