Healthcare Provider Details

I. General information

NPI: 1154237501
Provider Name (Legal Business Name): ALISON MARIE RIVERA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO. RINCON SEC. LA LOMA CARR14 INTERIOR RAMAL 7014 K0.2
CAYEY PR
00736-4903
US

IV. Provider business mailing address

URB QUINTAS LAS MUESAS 93 CALLE JUAN DE LA MATA E2
CAYEY PR
00736-5513
US

V. Phone/Fax

Practice location:
  • Phone: 787-908-8325
  • Fax:
Mailing address:
  • Phone: 787-908-8325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number009163
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: