MEDICARE: YAMILET RIVERA TP

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	101YM0800X	Mental Health Counselor	8853	PR

General Provider Information

NPI Number	:	1891632378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAMILET RIVERA TP

Provider Business Mailing Address
First Line	:	URB. VILLA MARIA CALLE 1 C18
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB. VILLA MARIA CALLE 1 C18
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-909-4514
Fax Number	:

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

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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