Individual
DR. MARIELY RIVERA-CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
CAMINO LOS UCARES 458, SABANERA DEL RIO, GURABO, PR 00778-0077
(787) 745-1196
Mailing address
# 458 CAMINO LOS UCARES, SABANERA DEL RIO, GURABO, PR 00778
(787) 745-1196
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3932
PR
283Q00000X
Psychiatric Hospital
Primary
3932
PR
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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