Doctor Name: | DR. JOSE AUGUSTO RIVERA |
NPI Number: | 1255624078 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., M.A. |
License Number: | |
Business Practice Address: | 2523 Us Highway 27 S Suite 130 Avon Park, FL - 338259690 |
Business Phone Number: | 8634520710 |
Business Fax Number: | 8634520142 |
Mailing Address: | 2523 Us Highway 27 S, Suite 130 AVON PARK |
State: | FL |
Postal Code: | 338259690 |
Phone Number: | 8634520710 |
Fax Number: | 8634520142 |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |