Healthcare Provider Details

I. General information

NPI: 1114853058
Provider Name (Legal Business Name): VANESSA REYES RIVERA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AVE LUIS MUNOZ MARIN
CAGUAS PR
00725-6184
US

IV. Provider business mailing address

TABONUCO E16, ARBOLADA
CAGUAS PR
00727
US

V. Phone/Fax

Practice location:
  • Phone: 787-653-3434
  • Fax:
Mailing address:
  • Phone: 787-688-8930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: