Provider Demographics
NPI:1487540084
Name:PHI RIVERA, NELDYS Y
Entity type:Individual
Prefix:
First Name:NELDYS
Middle Name:Y
Last Name:PHI RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 URB LAS PALMAS
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-2425
Mailing Address - Country:US
Mailing Address - Phone:787-307-1135
Mailing Address - Fax:
Practice Address - Street 1:197 URB LAS PALMAS
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-2425
Practice Address - Country:US
Practice Address - Phone:787-307-1135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1787103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling