Basic Information
| Provider Information | |||||||||
| NPI: | 1417257627 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RIVERA | ||||||||
| FirstName: | FRANCHESKA | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1870 | ||||||||
| Address2: | |||||||||
| City: | SAN GERMAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9396451538 | ||||||||
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| Practice Location | |||||||||
| Address1: | BO. ANCONES CALLE PUPULAR #25 | ||||||||
| Address2: | |||||||||
| City: | SAN GERMAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878061687 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2010 | ||||||||
| LastUpdateDate: | 10/22/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 3448 | PR | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TP2701X | 3448 | PR | N | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |
No ID Information.