| Rivera Emotional Health Center, Llc | |
|
400 Ave Domenech Ste 509 San Juan PR 00918-3705 | |
| (787) 998-1297 | |
| Not Available |
| Full Name | Rivera Emotional Health Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 400 Ave Domenech Ste 509, San Juan, Puerto Rico |
| Authorized Official Name and Position | Maily Rivera-maldonado (PRESIDENT) |
| Authorized Official Contact | 7879671467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivera Emotional Health Center, Llc 400 Ave Domenech Ste 509 San Juan PR 00918-3705 Ph: (787) 998-1297 | Rivera Emotional Health Center, Llc 400 Ave Domenech Ste 509 San Juan PR 00918-3705 Ph: (787) 998-1297 |
| NPI Number | 1649937947 |
|---|---|
| Provider Enumeration Date | 11/21/2021 |
| Last Update Date | 11/21/2021 |
| Certification Date | 11/21/2021 |
| Medicare PECOS PAC ID | 1658757315 |
|---|---|
| Medicare Enrollment ID | O20221004000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649937947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maily Dennisse Rivera-maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558901371 PECOS PAC ID: 4880015361 Enrollment ID: I20200609003018 |
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D & B Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Calle Cornell, Urb. University Gardens, San Juan, PR 00927 Phone: 787-536-6161 | |
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