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1023259413
MARTIN D RIVERA
MAYAGUEZ, PR
NPI
1023259413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PR 2274)
Enumeration Date
2009-03-13
Last Update Date
2009-03-13
Business Address
-- MARTIN D RIVERA
# 79 DR. BASORA
MAYAGUEZ, PR 00680
Phone number: 787-616-1565
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Mailing Address
-- MARTIN D RIVERA
CALLE DR. BASORA # 79
MAYAGUEZ, PR 00680
Phone number: 787-616-1565
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