# BRENDA MARIOLA RIVERA REYES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043419443
- **Gender:** F
- **Credential:** M.D., PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 21135 | PR | — |
| 2080P0214X | Pediatric Pulmonology Physician | 21135 | PR | Yes |
| 208D00000X | General Practice Physician | 21135 | PR | — |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 08/09/2023