Doctor Name: | NALYSSA RIVERA CORA |
NPI Number: | 1528444221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 19159 |
Business Practice Address: | 103 Calle Francisco G Bruno W Guayama, PR - 007844749 |
Business Phone Number: | 7879629244 |
Business Fax Number: | |
Mailing Address: | 103 Calle Francisco G Bruno W, GUAYAMA |
State: | PR |
Postal Code: | 007844749 |
Phone Number: | 7879629244 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |