Provider Demographics
NPI:1780442905
Name:RIVERA ORTIZ, DEBORAH N/A JR
Entity type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:N/A
Last Name:RIVERA ORTIZ
Suffix:JR
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TRABAJADORA SOCIAL
Mailing Address - Street 1:252 CALLE DIOSDADO DONES
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-2573
Mailing Address - Country:US
Mailing Address - Phone:787-359-1277
Mailing Address - Fax:
Practice Address - Street 1:COMUNIDAD ARCADIO MALDONADO
Practice Address - Street 2:CALLE 2 #4
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-2573
Practice Address - Country:US
Practice Address - Phone:787-359-1277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR164981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical