Provider Demographics
NPI:1679169957
Name:RIVERA, DHALMA H (SOCIAL WORKER)
Entity Type:Individual
Prefix:MISS
First Name:DHALMA
Middle Name:H
Last Name:RIVERA
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE C DD 32
Mailing Address - Street 2:BAYAMON GARDEN
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957
Mailing Address - Country:US
Mailing Address - Phone:787-604-0230
Mailing Address - Fax:
Practice Address - Street 1:CALLE LIZZIE GRAHAM HF16
Practice Address - Street 2:AVE SABANA SECA, 7MA SECCION
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-795-2935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25338104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker