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Individual

DR. LUIS ANTONIO RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
G32 CALLE LA SANTA, COLINAS METROPOLITANAS, GUAYNABO, PR 00969-5211
(787) 461-2604
Mailing address
12 AVE ARBOLOTE APT 29, GUAYNABO, PR 00969-5503
(787) 461-2604

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2432
PR
103TC1900X
Counseling Psychologist
Primary
2432
PR

Other

Enumeration date
07/18/2006
Last updated
12/18/2016
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