MEDICARE: DR. CRISTINA RIVERA FEBRES AUD

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	231H00000X	Audiologist	1028	PR

General Provider Information

NPI Number	:	1629704242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRISTINA RIVERA FEBRES AUD

Provider Business Mailing Address
First Line	:	150 CONECTOR C APT 201
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-2267
Country	:	US
Telephone Number	:	787-469-5483
Fax Number	:

Provider Business Practice Location Address
First Line	:	359 CALLE SAN CLAUDIO STE 300B
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4257
Country	:	US
Telephone Number	:	787-474-9313
Fax Number	:

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

Provider Enumeration Date	:	07/26/2022
Last Update Date	:	05/14/2023

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