Individual
BRENDA MARIOLA RIVERA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
11 CALLE COMERCIO, MOROVIS, PR 00687-3067
(786) 512-7001
Mailing address
B8 VEREDA DEL MONTE, BAYAMON, PR 00961-7507
(786) 512-7001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
21135
PR
2080P0214X
Pediatric Pulmonology Physician
Primary
21135
PR
208D00000X
General Practice Physician
21135
PR
Other
Enumeration date
07/16/2007
Last updated
08/09/2023
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