Individual
GABRIEL DE JESUS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
VILLA ESQUINA MOLINA, PONCE, P.R. 00730, PONCE, PR 00730
(787) 844-4961
Mailing address
HC 60 BOX 29047, AGUADA, PR 00602-9209
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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