=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720908676
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY QUILES RIVERA DPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2026
-----------------------------------------------------
Last Update Date | 07/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 129 KM 22 HM 2
-----------------------------------------------------
City | LARES
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00669
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-897-6611
-----------------------------------------------------
Fax | 787-897-6613
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9087 SECT FITO VALLE
-----------------------------------------------------
City | QUEBRADILLAS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00678-9742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-897-6611
-----------------------------------------------------
Fax | 787-897-6613
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 4684
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------