Doctor Name: | DR. ROSILY RIVERA MATOS |
NPI Number: | 1396717849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 016236 |
Business Practice Address: | Oficin Medica Carretera 149 Km 17.9 Bo Pesas Sector Bella Vista Casa 8 Ciales, PR - 00638 |
Business Phone Number: | 7878711441 |
Business Fax Number: | |
Mailing Address: | 77 Calle Verano, Urb Praderas De Morovis Sur MOROVIS |
State: | PR |
Postal Code: | 00687 |
Phone Number: | 7873980383 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 08/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 016236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |