Healthcare Provider Details

I. General information

NPI: 1356268031
Provider Name (Legal Business Name): PRECISION ALLERGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CALLE WASHINGTON STE 703
SAN JUAN PR
00907-1521
US

IV. Provider business mailing address

PASEO DEL MONTE MQ4 URB. MONTECLARO
BAYAMON PR
00961
US

V. Phone/Fax

Practice location:
  • Phone: 939-399-0422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICOLE RIVERA BOBE
Title or Position: CEO
Credential: MD
Phone: 787-646-6836