Individual
RAFAEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
PONCE DE LEON AVE. #435, HATO REY, SAN JUAN, PR 00917
(787) 641-2323
Mailing address
PO BOX 9787, SAN JUAN, PR 00908-0787
(787) 368-5312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1689
PR
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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