Individual
MIRELYS RIVERA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
A1E CALLE I, DORADO, PR 00646-2201
(787) 713-6505
Mailing address
HC 74 BOX 5988, NARANJITO, PR 00719-7421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5857
PR
Other
Enumeration date
03/17/2017
Last updated
06/08/2017
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