Provider Demographics
NPI:1013429505
Name:RIVERA CUEVAS, ALEXIS FRANCISCO (PHD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:FRANCISCO
Last Name:RIVERA CUEVAS
Suffix:
Gender:M
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:URB. ALTURAS DE SAN JOSE
Mailing Address - Street 2:CALLE 19 KK13
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637
Mailing Address - Country:US
Mailing Address - Phone:787-543-8953
Mailing Address - Fax:
Practice Address - Street 1:URB. ALTURAS DE SAN JOSE
Practice Address - Street 2:CALLE 19 KK13
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637
Practice Address - Country:US
Practice Address - Phone:787-299-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5981103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical