Individual
MRS. NANCY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MTS
Contact information
Practice address
CALLE BARBOSA #241, MOCA, PR 00676
(787) 877-4744
Mailing address
HC 01 BOX 3381, QUEBRADILLAS, PR 00678-9609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8762
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2161043
DRIVERSE LICENCE
PR
Enumeration date
05/01/2007
Last updated
07/08/2007
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