Individual
DR. LUIS A RIVERA
Active
Individual
DR. LUIS A RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS008271L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS008271L
PA
103TC0700X
Clinical Psychologist
Primary
PS008271L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01096302
CAPITAL BLUE CROSS
PA
01
—
124991
VALUE OPTIONS
PA
01
—
176911000
MAGELLAN
PA
01
—
2057198
CIGNA BEHAVIORAL HEALTH
PA
01
—
243651
MAMSI
PA
01
—
620006804
RAILROAD MEDICARE
PA
01
—
68711601
BC/BS MARYLAND CAREFIRST
PA
01
—
875698
PA BLUE SHIELD
PA
Enumeration date
06/07/2006
Last updated
12/22/2017
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