Doctor Name: | WILMARIE RIVERA HERNANDEZ |
NPI Number: | 1023326733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 12758I |
Business Practice Address: | San Juan City Hospital Ave Americo Miranda Rio Piedras, PR - 00928 |
Business Phone Number: | 7877662222 |
Business Fax Number: | |
Mailing Address: | Po Box 3310, Bayamon Gardens Station BAYAMON |
State: | PR |
Postal Code: | 009580310 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/15/2010 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12758I |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |