| NPI | 1891951448 |
|---|---|
| Former Name | RICARDO J RIVAS ORTIZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: PR 12093 I) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |