| Doctor Name: | JULIO A. RIVERA |
| NPI Number: | 1003109588 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3522 Blvd. Media Luna Apt. 1213 Condominio The Residences At Parque Escorial Carolina, PR - 00987 |
| Business Phone Number: | 7873147850 |
| Business Fax Number: | |
| Mailing Address: | Blvd Media Luna # 3322, Condominio The Residences Apt. 1213 CAROLINA |
| State: | PR |
| Postal Code: | 009875135 |
| Phone Number: | 7873147850 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2011 |
| NPI Last Update Date: | 08/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |