Provider Demographics
NPI:1093051740
Name:RIVERA, ZULMA L (MSW)
Entity Type:Individual
Prefix:
First Name:ZULMA
Middle Name:L
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 RIO TANAMA
Mailing Address - Street 2:URB PASEOS DEL RIO
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9757
Mailing Address - Country:US
Mailing Address - Phone:787-560-3385
Mailing Address - Fax:
Practice Address - Street 1:222 RIO TANAMA
Practice Address - Street 2:URB PASEOS DEL RIO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-9757
Practice Address - Country:US
Practice Address - Phone:787-560-3385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR71631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical