Individual
IBBIS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
R38 CALLE 22, TOA ALTA HEIGHTS, TOA ALTA, PR 00953-4247
(787) 327-2772
Mailing address
R38 CALLE 22, TOA ALTA HEIGHTS, TOA ALTA, PR 00953
(787) 327-2772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1562
PR
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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