Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 5546 | PR |
N | 103TA0700X | Adult Development & Aging Psychologist | 5546 | PR |
N | 103TC1900X | Counseling Psychologist | 5546 | PR |
N | 103TR0400X | Rehabilitation Psychologist | 5546 | PR |
NPI | 1164845053 |
---|---|
Provider Name | Mrs. Francisca Rivera |
First Address | San Juan, PR 00921-3115 |
Second Address | Cidra, PR 00739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2014 |
Last Update Date | 28/01/2014 |