Healthcare Provider Details

I. General information

NPI: 1033069943
Provider Name (Legal Business Name): YARITZA E RIVERA PABON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB LADERAS DE JUNCOS CALLE RIO CIBUCO F 3
JUNCOS PR
00777-9998
US

IV. Provider business mailing address

HC 03 BOX 8293
CANOVANAS PR
00729-9998
US

V. Phone/Fax

Practice location:
  • Phone: 787-983-1245
  • Fax:
Mailing address:
  • Phone: 787-983-1245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10394
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: