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NPI Code Detail

MEDICARE: MS. NATALIA NICOLE RIVERA MENDOZA

MEDICARE: MS. NATALIA NICOLE RIVERA MENDOZA
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
1207P00000XEmergency Medicine Physician23911PR

General Provider Information

NPI Number : 1114559416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATALIA NICOLE RIVERA MENDOZA
Provider Business Mailing Address
First Line : PO BOX 361900
Second Line :
City : SAN JUAN
State : PR
Zip : 00936-1900
Country : US
Telephone Number : 787-633-4662
Fax Number :
Provider Business Practice Location Address
First Line : CARRETERA 172 SALIDA 21
Second Line : TURABO GARDEN
City : CAGUAS
State : PR
Zip : 00727-7084
Country : US
Telephone Number : 787-653-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2020
Last Update Date : 12/11/2025

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