Individual
MARTIN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
166 6 STREET, JAIME L DREW, PONCE, PR 00730-1533
(787) 509-0774
Mailing address
166 6ST, JAIME L DREW, PONCE, PR 00730-1533
(787) 509-0774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18099
PR
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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