Provider Demographics
NPI:1992838031
Name:RIVERA-RIVERA, GISELA (MSW)
Entity Type:Individual
Prefix:
First Name:GISELA
Middle Name:
Last Name:RIVERA-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 1:31 CALLE MIGUEL PLANELLAS
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-3341
Mailing Address - Country:US
Mailing Address - Phone:787-249-2881
Mailing Address - Fax:
Practice Address - Street 1:URB. CARIBE
Practice Address - Street 2:1549 ALDA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2709
Practice Address - Country:US
Practice Address - Phone:787-622-9797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6120104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker