| 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 |