Doctor Name: | MRS. MAYRA RIVERA |
NPI Number: | 1659502532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 940 |
Business Practice Address: | Carr # 2 Km.11.7 Bayamon Medical Plaza Suite 409a Bayamon, PR - 00959 |
Business Phone Number: | 7879757788 |
Business Fax Number: | |
Mailing Address: | Pmb 484 Po Box 4960, CAGUAS |
State: | PR |
Postal Code: | 007264960 |
Phone Number: | 7879757788 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2009 |
NPI Last Update Date: | 07/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 940 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |