MRS. Idalis Rivera Blanco, MASTER DEGREE

NPI #1396191581 in Coamo, Puerto Rico

Provider Information

NPI Number: 1396191581
Entity Type: Individual
Name: MRS. Idalis Rivera Blanco, MASTER DEGREE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: MASTER DEGREE
Enumeration Date: May 6, 2016
Last Updated: May 6, 2016

Practice Location

Address: HC 2 BOX 4750
City: Coamo
State: Puerto Rico
ZIP Code: 00769-9575
Phone: (787) 392-7673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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