Healthcare Provider Details

I. General information

NPI: 1235996935
Provider Name (Legal Business Name): ARIANA PEREZ-RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 152 KM 2.3 BO QUEBRADILLAS
BARRANQUITAS PR
00794-0519
US

IV. Provider business mailing address

909 AVE TITO CASTRO
PONCE PR
00716-4728
US

V. Phone/Fax

Practice location:
  • Phone: 787-857-8383
  • Fax:
Mailing address:
  • Phone: 787-813-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23715
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: