Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2792 | PR |
Y | 103TC0700X | Clinical Psychologist | 2792 | PR |
NPI | 1003003914 |
---|---|
Provider Name | Dr. Kenia Mari Rivera Lluveras |
First Address | Bayamon, PUERTO RICO 00956 4838 |
Second Address | San Juan, PR 00956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 25/09/2007 |