Doctor Name: | MS. AMARILIS RIVERA |
NPI Number: | 1114237138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3152 |
Business Practice Address: | Pradera Del Rio Calle Rio Bucana 3004 Toa Alta, PUERTO RICO - 00953 |
Business Phone Number: | 7874487322 |
Business Fax Number: | |
Mailing Address: | Pradera Del Rio, Calle Rio Bucana 3004 TOA ALTA |
State: | PUERTO RICO |
Postal Code: | 00953 |
Phone Number: | 7874487322 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2010 |
NPI Last Update Date: | 10/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 3152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |