| NPI | 1295543288 | 
|---|---|
| Other Name | CRISTIAN DAVID RIVERA | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11036841) | 
| Enumeration Date | 2024-12-21 | 
| Last Update Date | 2024-12-21 |