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Individual

MR. JULIO JUAN RIVERA BAEZ SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
SVS PLAZA I LOCAL #208 CARR. #2KM 149.5, BO. ALGAROBO, MAYAGUEZ, PR 00682
(939) 222-7087
Mailing address
URB. MONTE SOL CALLE JUPITER 207, YAUCO, PR 00698
(939) 400-1683

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007425
PR
103TC2200X
Clinical Child & Adolescent Psychologist
007425
PR
103TS0200X
School Psychologist
007425
PR

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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