Individual
PATRICIA CORAL LUGO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5946
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5946
PSYCHOLOGIST LICENSE
PR
Enumeration date
04/03/2018
Last updated
09/15/2025
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