Provider Demographics
NPI:1811199524
Name:RIVERA, ISABEL RIOS (MSW)
Entity Type:Individual
Prefix:MISS
First Name:ISABEL
Middle Name:RIOS
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:HCO4 43404 CARR 453 KM 4.5 BO. PILETAS
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669
Mailing Address - Country:US
Mailing Address - Phone:787-560-5340
Mailing Address - Fax:
Practice Address - Street 1:AVE CESAR GONZALEZ #576
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00978
Practice Address - Country:US
Practice Address - Phone:787-765-3303
Practice Address - Fax:787-765-3303
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR87191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical