Healthcare Provider Details

I. General information

NPI: 1124977202
Provider Name (Legal Business Name): DANIELLA RIVERA MOTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 BOBBY FOSTER RD SE
ALBUQUERQUE NM
87106-9001
US

IV. Provider business mailing address

2000 BOBBY FOSTER RD SE
ALBUQUERQUE NM
87106-9001
US

V. Phone/Fax

Practice location:
  • Phone: 505-508-3295
  • Fax:
Mailing address:
  • Phone: 505-508-3295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number439272
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: