MRS. MAYRA E. DAVILA RIVERA


Address: Ave: Monte Carlo # 34354 Parcela B Finca Mariem, San Juan, PR 00929-1194
Phone: 7876080652

MRS. MAYRA E. DAVILA RIVERA (NPI# 1164062410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164062410
Entity Type Individual
Full Name MRS. MAYRA E. DAVILA RIVERA
Practice Address Ave: Monte Carlo # 34354 Parcela B Finca Mariem
San Juan
PR 00929-1194
Mailing Address Po Box 30194
San Juan
PR 00929-1194
Practice Telephone 7876080652
Mailing Telephone 7876080652
Enumeration Date 2020-01-14
Last Update Date 2020-01-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6479 PR Behavioral Health & Social Service Providers

Office Location

Street Address AVE: MONTE CARLO # 34354 PARCELA B FINCA MARIEM
City SAN JUAN
State PR
Zip Code 00929-1194

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City SAN JUAN
Zip Code 00929

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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