| Doctor Name: | MR. WILMER RIVERA ZAMBRANA |
| NPI Number: | 1114384351 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SOCIAL WORKER |
| License Number: | 10712 |
| Business Practice Address: | Hc 3 Box 18133 Coamo, PR - 007699822 |
| Business Phone Number: | 7872969777 |
| Business Fax Number: | 7872969777 |
| Mailing Address: | Hc 3 Box 18133, COAMO |
| State: | PR |
| Postal Code: | 007699822 |
| Phone Number: | 7872969777 |
| Fax Number: | 7872969712 |
| NPI Enumeration Date: | 01/19/2016 |
| NPI Last Update Date: | 01/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 10712 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |