Individual
JASYRA MARIE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2430 CALLE EUREKA, CONSTANCIA, PONCE, PR 00717-2220
(787) 922-6051
Mailing address
2430 CALLE EUREKA, CONSTANCIA, PONCE, PR 00717-2220
(787) 922-6051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9179
PR
Other
Enumeration date
09/16/2012
Last updated
09/16/2012
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