Individual
MR. JESUS RIVERA CARIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
URB. ALTURA DEL PLATA, C-25 PASEO DE LA COLINA, CAYEY, PR 00737-9601
(787) 645-5413
Mailing address
PO BOX 10000, CAYEY, PR 00737-9601
(787) 645-5413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0320
PR
1041C0700X
Clinical Social Worker
Primary
17444
PR
Other
Enumeration date
07/09/2010
Last updated
05/21/2012
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