Healthcare Provider Details

I. General information

NPI: 1881503845
Provider Name (Legal Business Name): GABRIEL HIRAM PEREZ RIVERA BSN-RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 932 K2 H1 BARRIO RINCON
GURABO PR
00778-9635
US

IV. Provider business mailing address

HC 2 BOX 12272
GURABO PR
00778-9635
US

V. Phone/Fax

Practice location:
  • Phone: 787-614-2382
  • Fax:
Mailing address:
  • Phone: 787-614-2382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number087026
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: