Provider Demographics
NPI:1720207590
Name:RIVERA-CALES, SHEILA ODETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ODETTE
Last Name:RIVERA-CALES
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:CALLE FLAMBOYAN, URB. SANTA ELENA
Mailing Address - Street 2:G-2
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-1414
Mailing Address - Country:US
Mailing Address - Phone:178-783-5271
Mailing Address - Fax:
Practice Address - Street 1:ASSMCA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-284-1205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1390103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical