Provider Demographics
NPI:1750404166
Name:RIVERA, CATALINA MARIA LUIS (STA)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:MARIA LUIS
Last Name:RIVERA
Suffix:
Gender:F
Credentials:STA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 CROWN POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3167
Mailing Address - Country:US
Mailing Address - Phone:956-283-9442
Mailing Address - Fax:956-283-9456
Practice Address - Street 1:7600 W EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9561
Practice Address - Country:US
Practice Address - Phone:956-581-7171
Practice Address - Fax:956-581-7278
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX311752355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant