Provider Demographics
NPI:1841893815
Name:RIVERA, SHARLEEN
Entity type:Individual
Prefix:
First Name:SHARLEEN
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB PEREZ MORIS
Mailing Address - Street 2:CALLE BAEZ 500
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:787-767-6710
Mailing Address - Fax:
Practice Address - Street 1:URB PEREZ MORRIS
Practice Address - Street 2:CALLE 500
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-4189
Practice Address - Country:US
Practice Address - Phone:787-767-6710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical