Healthcare Provider Details

I. General information

NPI: 1699873950
Provider Name (Legal Business Name): MARALEXIS RIVERA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. AMERICO MIRANDA CENTRO MEDICO - HOSPITAL PEDIATRICO UNIVERSITARIO
SAN JUAN PR
00936
US

IV. Provider business mailing address

73 CALLE COBANA URB. LADERAS DE SAN JUAN
SAN JUAN PR
00926-9322
US

V. Phone/Fax

Practice location:
  • Phone: 787-777-3535
  • Fax:
Mailing address:
  • Phone: 787-474-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number14078
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number14078
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: