MEDICARE: BETSY RIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1033046875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETSY RIVERA

Provider Business Mailing Address
First Line	:	CALLE PARIS 171 PMB 1406
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00917
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR. PR 21 INT. PR 18
Second Line	:	BO. MONACILLO URBANO
City	:	SAN JUAN
State	:	PR
Zip	:	00927
Country	:	US
Telephone Number	:	787-936-1477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ BETSY RIVERA ” Practice Location

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