Individual
THAIZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 4 BOX 13482, SAN GERMAN, PR 00683-9568
(787) 517-9298
Mailing address
HC 4 BOX 13482, SAN GERMAN, PR 00683-9568
(787) 517-9298
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5552
PR
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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