Doctor Name: | MILITZA CANINO RIVERA |
NPI Number: | 1629185749 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14904 |
Business Practice Address: | Urb. San Antonio Carr 924 Calle 1 A1 Suite 4 Humacao, PR - 00792 |
Business Phone Number: | 7876459097 |
Business Fax Number: | 7877196971 |
Mailing Address: | 105 Urb Caguas Real, CAGUAS |
State: | PR |
Postal Code: | 007259050 |
Phone Number: | 7878101868 |
Fax Number: | 7878101868 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 12/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |