Individual
MR. PEDRO JOSE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMSW
Contact information
Practice address
10555 MONTGOMERY BLVD NE BLDG 2, ALBUQUERQUE, NM 87111-3857
(505) 503-7946
Mailing address
10555 MONTGOMERY BLVD NE BLDG 2, ALBUQUERQUE, NM 87111-3857
(505) 503-7946
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11681
NM
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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