Provider Demographics
NPI:1669104378
Name:ALEMAN RIVERA, ANGEL E (PHD)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:E
Last Name:ALEMAN RIVERA
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 1:2 CALLE JUAN F CORTES SUITE 2
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-4808
Mailing Address - Country:US
Mailing Address - Phone:787-415-1390
Mailing Address - Fax:
Practice Address - Street 1:2 CALLE JUAN F CORTES SUITE 2
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-4808
Practice Address - Country:US
Practice Address - Phone:787-280-3567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7111103TB0200X, 103TC2200X, 103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist