Individual
DR. NILKA JULIANA RIVERA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Mailing address
1350 N MAIN ST APT 3916, EULESS, TX 76039-2952
(787) 552-7007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38250
LICENSE
TX
Enumeration date
08/14/2019
Last updated
08/14/2019
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