Individual
MRS. LINA I RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2231 PASEO AMAPOLA, LEVITTOWN, TOA BAJA, PR 00949-4310
(787) 410-1720
(787) 261-6693
Mailing address
2231 PASEO AMAPOLA, LEVITTOWN, TOA BAJA, PR 00949-4310
(787) 410-1720
(787) 261-6693
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3466
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3466
PSYCHOLOGIST LICENSE
PR
Enumeration date
04/24/2011
Last updated
04/24/2011
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