# SANDA I RIVERA LLAMAS, MD

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

## Provider details

- **NPI number:** 1871046441
- **Authorized official:** DR. SANDRA I RIVERA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 250-6016

## Contact information

- **Practice address:** 1790 PLAZA OLMEDO, AVE LOMAS VERDES, SAN JUAN, PR 00926-9673
- **Practice address phone:** (787) 460-6016
- **Practice address fax:** (787) 250-6016
- **Mailing address:** 1790 PLAZA OLMEDO, AVE LOMAS VERDES, SAN JUAN, PR 00926-9673
- **Mailing address phone:** (787) 460-6016
- **Mailing address fax:** (787) 250-6016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 15244 | PR | Yes |

## Other

- **Enumeration date:** 07/29/2016
- **Last updated:** 07/29/2016