Provider Demographics
NPI:1790117794
Name:VERA RIVERA, CRISTINA MARIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:MARIA
Last Name:VERA RIVERA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A12 CALLE CAMELIA
Mailing Address - Street 2:URBANIZACION MIRAFLORES 31105
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-616-3839
Mailing Address - Fax:
Practice Address - Street 1:CALLE CAMELIA A12
Practice Address - Street 2:URB MIRAFLORES 31105
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-616-3839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5897103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty