Healthcare Provider Details

I. General information

NPI: 1417770819
Provider Name (Legal Business Name): VALERIA MARIE SANCHEZ-RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10C CALLE CASIA
SAN JUAN PR
00921-3200
US

IV. Provider business mailing address

3232 ST. PALMA DE MALLORCA URB. MANSIONES
CABO ROJO PR
00623
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-7582
  • Fax:
Mailing address:
  • Phone: 787-439-3869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: