Healthcare Provider Details

I. General information

NPI: 1396668521
Provider Name (Legal Business Name): MRS. DAIANA MARI RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 3 BOX 7379
COMERIO PR
00782-9581
US

IV. Provider business mailing address

HC 3 BOX 7379
COMERIO PR
00782-9581
US

V. Phone/Fax

Practice location:
  • Phone: 787-292-9125
  • Fax:
Mailing address:
  • Phone: 787-292-9125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1271
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: