MEDICARE: VALERIA SOFIA RIVERA ALVARADO MD

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		PR

General Provider Information

NPI Number	:	1245061555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIA SOFIA RIVERA ALVARADO MD

Provider Business Mailing Address
First Line	:	JARDINES DE CAYEY 2 CALLE GARDENIA
Second Line	:	D13
City	:	CAYEY
State	:	PR
Zip	:	00736
Country	:	US
Telephone Number	:	787-323-8437
Fax Number	:

Provider Business Practice Location Address
First Line	:	BO RINCON SECTOR LOMAS CARR 14 INT K.3
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00736
Country	:	US
Telephone Number	:	787-535-1001
Fax Number	:

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

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	06/16/2026

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