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NPI Code Detail

MEDICARE: JILIANA RIVERA

MEDICARE: JILIANA RIVERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse621281NY

General Provider Information

NPI Number : 1255665758
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILIANA RIVERA
Provider Business Mailing Address
First Line : 2215 SEWARD AVE
Second Line : #1
City : BRONX
State : NY
Zip : 10473-1407
Country : US
Telephone Number : 374-293-8874
Fax Number :
Provider Business Practice Location Address
First Line : 2215 SEWARD AVE
Second Line : #1
City : BRONX
State : NY
Zip : 10473-1407
Country : US
Telephone Number : 374-293-8874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2009
Last Update Date : 09/30/2009

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Directions to “ JILIANA RIVERA ” Practice Location

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