Individual
MRS. MAILEEN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
AVE CHARDON 2-A, ANEXO EL MUNDO, HATO REY, PR 00936
(787) 641-0773
Mailing address
PO BOX 1207, SAN LORENZO, PR 00754-1207
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9278
PR
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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