Individual
DR. ANGEL JOSE RIVERA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY-D
Contact information
Practice address
CALLE 26 VILLA UNIVERSITARIA, BA-4, HUMACAO, PR 00791
(787) 852-9331
Mailing address
P.O. BOX 1359, YABUCOA, PR 00767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3648
PR
103TC0700X
Clinical Psychologist
3648
PR
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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