Individual
RAFAEL RIVERA AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
G10 CALLE 4, DOS PINOS TOWN HOUSE, SAN JUAN, PR 00923
(787) 923-9222
Mailing address
G10 CALLE 4, DOS PINOS TOWN HOUSE, SAN JUAN, PR 00923
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5715
PR
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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