Individual
DR. ENRIQUE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10111 W FOREST HILL BLVD, SUITE 160, WELLINGTON, FL 33414-6108
(561) 793-7678
Mailing address
10111 W FOREST HILL BLVD, SUITE 160, WELLINGTON, FL 33414-6108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3483
FL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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