Individual
NILDA EBONY RIVERA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 AVE FONT MARTELO, HUMACAO, PR 00791-3249
(787) 852-0768
Mailing address
355 AVE FONT MARTELO, HUMACAO, PR 00791-3249
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17830-I
PR
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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