Provider Demographics
NPI:1447790928
Name:LAMBOY RIVERA, ALFREDO ERASMO (MA)
Entity Type:Individual
Prefix:
First Name:ALFREDO
Middle Name:ERASMO
Last Name:LAMBOY RIVERA
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 AVE DEL ESPIRITU SANTO
Mailing Address - Street 2:APTO 7-504
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 AVE DEL ESPIRITU SANTO
Practice Address - Street 2:APTO 7-504
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3061
Practice Address - Country:US
Practice Address - Phone:787-678-9667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5681103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling