Organization
CREATIVE THERAPY CENTER, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORAL RIVERA PHD (PRESIDENT)
(787) 637-1159
Entity
Organization
Contact information
Practice address
CARR 167, MARGINAL BUENA VISTA U-1, BAYAMON, PR 00961-4477
(787) 637-1159
(787) 545-4246
Mailing address
PO BOX 4193, BAYAMON, PR 00958-1193
(787) 637-1159
(787) 545-4246
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2286
PR
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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