# CENTRO TERAPIA FISICA RIVERA NIEVES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528122694
- **Authorized official:** LILLIANA RIVERA NIEVES THERAPIST (OWNER FOR THERAPY CENTER)
- **Authorized official phone:** (787) 883-3939

## Contact information

- **Practice address:** ST. 693 BARRIO BRENAS, SUITE NO 271, VEGA ALTA, PR 00692
- **Practice address phone:** (787) 883-3939
- **Practice address fax:** (787) 270-4933
- **Mailing address:** PO BOX 19, DORADO, PR 00646-0019
- **Mailing address phone:** (787) 883-3939
- **Mailing address fax:** (787) 270-4933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 1046 | PR | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 03/19/2012