Provider Demographics
NPI:1730423245
Name:RIVERA, HECTOR L (MSW)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:L
Last Name:RIVERA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. MOUNTAIN VW 134
Mailing Address - Street 2:CALLE GUILARTE
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-974-6579
Mailing Address - Fax:
Practice Address - Street 1:URB. MOUNTAIN VW 134
Practice Address - Street 2:CALLE GUILARTE
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-974-6579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR129111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical