Healthcare Provider Details

I. General information

NPI: 1457265662
Provider Name (Legal Business Name): SARYBETTE RIVERA CALDERON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RESIDENCIAL LOS DOMINICOS APT 43
BAYAMON PR
00000-0957
US

IV. Provider business mailing address

RESIDENCIAL LOS DOMINICOS APT 43
BAYAMON PR
00000-0957
US

V. Phone/Fax

Practice location:
  • Phone: 787-568-0273
  • Fax:
Mailing address:
  • Phone: 787-568-0273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7180236
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: