Healthcare Provider Details

I. General information

NPI: 1295613586
Provider Name (Legal Business Name): KARLA GONZALEZ RIVERA EPIDEMIOLOGIST (MPH)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PR-2 KM 47
MANATI PR
00674
US

IV. Provider business mailing address

HACIENDAS DE GARROCHALES 134 CALLE HERCULES
GARROCHALES PR
00652-9708
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-2292
  • Fax:
Mailing address:
  • Phone: 787-566-3958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: