Healthcare Provider Details

I. General information

NPI: 1518502186
Provider Name (Legal Business Name): ANA GABRIELA RIVERA-PAGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2019
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB VALLE HUCARES A22 LA CAOBA
JUANA DIAZ PR
00795
US

IV. Provider business mailing address

URB. VALLE HUCARES A22 LA CAOBA
JUANA DIAZ PR
00795
US

V. Phone/Fax

Practice location:
  • Phone: 787-901-0310
  • Fax:
Mailing address:
  • Phone: 787-901-0310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number24664
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: