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NPI Code Detail

MEDICARE: MS. ERLINDA ESTACIO RIVERA

MEDICARE:  MS. ERLINDA ESTACIO 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
1376G00000XNursing Home Administrator#8042AK
2385H00000XRespite Care100399AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194858332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERLINDA ESTACIO RIVERA
Provider Business Mailing Address
First Line : 7330 WINCHESTER ST
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-2856
Country : US
Telephone Number : 907-334-3392
Fax Number : 907-334-3392
Provider Business Practice Location Address
First Line : 7330 WINCHESTER ST
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-2856
Country : US
Telephone Number : 907-334-3392
Fax Number : 907-334-3392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 06/13/2008

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Directions to “ MS. ERLINDA ESTACIO RIVERA ” Practice Location

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