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Individual

MS. NYDIA IRIS HERNANDEZ RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSIC IT-O

Contact information

Practice address
205 CALLE JUAN SAN ANTONIO, EDIFICIO BPOSQUES, MOCA, PR 00676-9617
(787) 364-4605
Mailing address
HC-01 BOX 7066, MOCA, PR 00676-9617
(787) 364-4605
(787) 877-3696

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3567
PR
225X00000X
Occupational Therapist
795
PR

Other

Enumeration date
02/11/2007
Last updated
07/12/2019
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