| Doctor Name: | DR. ENID RIVERA - JIMENEZ |
| NPI Number: | 1104887124 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 7278 |
| Business Practice Address: | Clinica De La Escuela De Medicina Reparto Metropolitano Shopping, Ave. Americo Miranda Rio Piedras, PR - 00921 |
| Business Phone Number: | 7877587910 |
| Business Fax Number: | 7876251966 |
| Mailing Address: | Box 6766, CAGUAS |
| State: | PR |
| Postal Code: | 00726 |
| Phone Number: | 7877773535 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2006 |
| NPI Last Update Date: | 03/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0207X |
| License Number: | 7278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Hematology-Oncology |
| Taxonomy Definition: | A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |