Individual
DR. IDALIS RIVERA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
CARRETERA 143 KM 53.9, BO HELECHAL, BARRANQUITAS, PR 00794
(787) 460-3698
Mailing address
10 CALLE EBENEZER, AIBONITO, PR 00705
(787) 460-3698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2790
PR
Other
Enumeration date
05/06/2016
Last updated
08/06/2026
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