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Individual

ASTRID RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
CARRETERA 121, KM. 13.3, YAUCO, PR 00698
(787) 641-9133
Mailing address
PO BOX 71474, SAN JUAN, PR 00936-8574
(787) 641-9133

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0080004658489
MOLINA HEATLTHCARE
PR
Enumeration date
12/17/2019
Last updated
12/17/2019
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