Individual
MS. JEANETTE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
BARRIO ARUZ, CARR. 1 KM 18.8, JUANA DIAZ, PR 00795-3669
(787) 225-2356
Mailing address
URB. CAMINO DEL SUR CALLE FRAILE, # 436, PONCE, PR 00716
(787) 225-2356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1072
PR
103TC0700X
Clinical Psychologist
Primary
7246
PR
Other
Enumeration date
04/02/2012
Last updated
01/13/2022
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