Doctor Name: | MISS MIRIAM RIVERA |
NPI Number: | 1538379292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.O.T.A. |
License Number: | 768 |
Business Practice Address: | 1106 Teniente Cesar Gonzalez Villa Nevarez Rio Piedras, PR - 00928 |
Business Phone Number: | 7877588019 |
Business Fax Number: | 7877643657 |
Mailing Address: | Po Box 66, YABUCOA |
State: | PR |
Postal Code: | 007670066 |
Phone Number: | 7877334027 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |