MEDICARE: LUCYANN BERNIER-RIVERA PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	5181	PR

General Provider Information

NPI Number	:	1316389471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCYANN BERNIER-RIVERA PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 9295
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-9295
Country	:	US
Telephone Number	:	787-900-1888
Fax Number	:

Provider Business Practice Location Address
First Line	:	CENTRO INTERNACIONAL DE MERCADEO TORRE I
Second Line	:	CARR 165 SUITE 401
City	:	GUAYNABO
State	:	PR
Zip	:	00968-0000
Country	:	US
Telephone Number	:	787-900-1888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	06/30/2022

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