MEDICARE: GABRIELA DEL MAR RIVERA CRUZ MD

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
1	207R00000X	Internal Medicine Physician	17470-I	PR

General Provider Information

NPI Number	:	1477257921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA DEL MAR RIVERA CRUZ MD

Provider Business Mailing Address
First Line	:	UNIVERSITY DISTRICT HOSPITAL PUERTO RICO MEDICAL CENTER
Second Line	:	BO. MONACILLOS
City	:	SAN JUAN
State	:	PR
Zip	:	00935-0214
Country	:	US
Telephone Number	:	787-754-0101
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY DISTRICT HOSPITAL PUERTO RICO MEDICAL CENTER
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00935-0214
Country	:	US
Telephone Number	:	787-754-0101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	11/08/2025

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