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NPI Code Detail

MEDICARE: DR. PEDRO RIVERA SANTANA PSY.D.

MEDICARE: DR. PEDRO RIVERA SANTANA PSY.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
1103TC0700XClinical Psychologist0810005907VA
2103TC0700XClinical Psychologist2436PR

General Provider Information

NPI Number : 1942226725
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEDRO RIVERA SANTANA PSY.D.
Provider Business Mailing Address
First Line : 9300 DEWITT LOOP FL 2
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-1293
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-1293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 11/20/2025

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