Healthcare Provider Details

I. General information

NPI: 1114847498
Provider Name (Legal Business Name): ANALYTICS PROVIDER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB VALLE VERDE CALLE RIO OROCOVIS AS19
BAYAMON PR
00961-0000
US

IV. Provider business mailing address

URB VALLE VERDE CALLE RIO OROCOVIS AS19
BAYAMON PR
00961-0000
US

V. Phone/Fax

Practice location:
  • Phone: 939-274-3773
  • Fax:
Mailing address:
  • Phone: 939-274-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JOVEAN RIVERA
Title or Position: OWNER
Credential: RN
Phone: 939-274-3773