Doctor Name: | DR. SONIA I HERNANDEZ RIVERA |
NPI Number: | 1063583102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 2658 |
Business Practice Address: | Carr 863 Kil 0.6 Bo Pajaros Candelaria Toa Baja, PR - 00953 |
Business Phone Number: | 7877984500 |
Business Fax Number: | 7879956789 |
Mailing Address: | Po Box 810, AIBONITO |
State: | PR |
Postal Code: | 007050810 |
Phone Number: | 9399691057 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |