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Individual

MYRA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 CALLE JULIAN BLANCO, SANTA RITA, SAN JUAN, PR 00925-2804
(305) 479-2484
(304) 394-6413
Mailing address
11 CALLE JULIAN BLANCO, SANTA RITA, SAN JUAN, PR 00925-2804
(305) 479-2484
(304) 394-6413

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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