Healthcare Provider Details

I. General information

NPI: 1164386207
Provider Name (Legal Business Name): SUHEILY ARCE RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 137.2
AGUADA PR
00602
US

IV. Provider business mailing address

HC 03 BOX 31200
AGUADA PR
00602
US

V. Phone/Fax

Practice location:
  • Phone: 787-323-5737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number4081-E
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: