Individual
JOSE RENE RIVERA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
7780 BO DONA ELENA ALTO #KM4.1, COMERIO, PR 00782
(787) 502-6007
Mailing address
HC03BOX7684, COMERIO, PR 00782
(787) 502-6007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12858
PR
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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