Provider Demographics
NPI:1548430861
Name:RIVERA, SYLVIE E (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIE
Middle Name:E
Last Name:RIVERA
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:MRS
Other - First Name:SYLVIE
Other - Middle Name:E
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYCHOLOGIST
Mailing Address - Street 1:N26 CALLE 11
Mailing Address - Street 2:URB VILLA DEL CARMEN
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-2153
Mailing Address - Country:US
Mailing Address - Phone:787-602-6624
Mailing Address - Fax:787-703-4115
Practice Address - Street 1:M31 CALLE 13
Practice Address - Street 2:URB. CONDADO MODERNO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2443
Practice Address - Country:US
Practice Address - Phone:787-602-6624
Practice Address - Fax:787-703-4115
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2205103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling