Healthcare Provider Details

I. General information

NPI: 1508796475
Provider Name (Legal Business Name): THREE Y. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. ANTONIO R. BARCELO #14 KM. 72.3
CAYEY PR
00736
US

IV. Provider business mailing address

PO BOX 1136
COMERIO PR
00782-1136
US

V. Phone/Fax

Practice location:
  • Phone: 939-283-9296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILMARIE RIVERA
Title or Position: MD
Credential: MD
Phone: 939-283-9296