Organization
RIAZA INTEGRATED MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA E GOMEZ (PRESIDENT)
(787) 635-2840
Entity
Organization
Contact information
Practice address
502 CALLE RIAZA, SAN JUAN, PR 00923-2120
(787) 635-2840
Mailing address
PO BOX 21406, SAN JUAN, PR 00928-1406
(787) 635-2840
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
111N00000X
Chiropractor
—
—
163W00000X
Registered Nurse
—
—
171100000X
Acupuncturist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
246Q00000X
Pathology Specialist/Technologist
—
—
246R00000X
Pathology Technician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
03/17/2022
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