# IVETTE L CRUZ RIVERA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IVETTE L CRUZ RIVERA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083354237
- **Authorized official:** DR. IVETTE L CRUZ RIVERA (MEDICO)
- **Authorized official phone:** (787) 892-3513

## Contact information

- **Practice address:** SAN GERMAN MEDICAL PLAZA SUITE 207, CARR 2 KM 174.0, SAN GERMAN, PR 00683-9340
- **Practice address phone:** (787) 892-3513
- **Practice address fax:** (787) 892-7422
- **Mailing address:** HC 3 BOX 25716, SAN GERMAN, PR 00683-9340
- **Mailing address phone:** (787) 892-3513
- **Mailing address fax:** (787) 892-7422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2022
- **Last updated:** 04/12/2022