Individual
JOAN CRUZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D.
Contact information
Practice address
70 CALLE MUNOZ RIVERA, JUANA DIAZ, PR 00795-1635
(787) 901-1825
Mailing address
URB VALLE ESCONDIDA 66, COAMO, PR 00769
(787) 633-8753
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6477
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6477
LICENCIA
PR
Enumeration date
04/09/2021
Last updated
04/09/2021
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