Healthcare Provider Details

I. General information

NPI: 1073549184
Provider Name (Legal Business Name): ALMI RIVERA RIVERA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

D28 CALLE 3 TINTILLO GARDENS
BAYAMON PR
00956-6844
US

IV. Provider business mailing address

D28 CALLE 3 TINTILLO GARDENS
BAYAMON PR
00956-6844
US

V. Phone/Fax

Practice location:
  • Phone: 787-213-6051
  • Fax: 787-268-7271
Mailing address:
  • Phone: 787-213-6051
  • Fax: 787-268-7271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13925
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: