Provider Demographics
NPI:1285983239
Name:RIVERA-FUENTES, SIGMALI (PSY D)
Entity type:Individual
Prefix:DR
First Name:SIGMALI
Middle Name:
Last Name:RIVERA-FUENTES
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SECT SANTA TERESITA
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-8739
Mailing Address - Country:US
Mailing Address - Phone:787-598-3317
Mailing Address - Fax:
Practice Address - Street 1:3 SECT SANTA TERESITA
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-8739
Practice Address - Country:US
Practice Address - Phone:787-598-3317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5548103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical