# MRS. IVELISSE RIVERA BORGES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508872227
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RN0300X | Nephrology Physician | 12948 | PR | — |
| 246ZN0300X | Nephrology Specialist/Technologist | 12948 | PR | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 09/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 90266RJ | SSS | PR |
| 01 | — | 90266RS | SSS INSURANCE | — |