| Doctor Name: | DR. KENIA MARI RIVERA LLUVERAS |
| NPI Number: | 1003003914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | 2792 |
| Business Practice Address: | Carr. 21 S3 Las Lomas Bo. Monacillos Office # 2 San Juan, PR - 00956 |
| Business Phone Number: | 7875982415 |
| Business Fax Number: | |
| Mailing Address: | Calle 9 Num. I 13 Vista Bella, BAYAMON |
| State: | PUERTO RICO |
| Postal Code: | 00956 4838 |
| Phone Number: | 7875982415 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2007 |
| NPI Last Update Date: | 09/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2792 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |