Healthcare Provider Details

I. General information

NPI: 1952247496
Provider Name (Legal Business Name): MARIA C RIVERA-AYERS C RIVERA-AYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 PLYMOUTH AVE NE
GRAND RAPIDS MI
49505-6028
US

IV. Provider business mailing address

304 OVERLOOK LN
BATTLE CREEK MI
49017-9405
US

V. Phone/Fax

Practice location:
  • Phone: 616-233-6505
  • Fax:
Mailing address:
  • Phone: 616-901-7350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number005227
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: