Individual
LUZ I RIVERA PASTRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
43-13 AVE MAIN, BAYAMON, PR 00959-6501
(787) 486-2288
(787) 798-4492
Mailing address
PO BOX 9437, BAYAMON, PR 00960-9437
(787) 486-2288
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1140
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APS
2365
PR
01
—
HUMANA HEALTH PLANS
2091
PR
01
—
IMC
9952
PR
01
—
LA CRUZ AZUL
10040
PR
01
—
SSS
62995
PR
Enumeration date
12/05/2006
Last updated
03/03/2021
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