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Individual

LILLIANA RIVERA NIEVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
THERAPIST

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1046
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6920027
HUMANA HEALTH PLAN
PR
01
82011
BLUE CROSS BLUE SHIELD
PR
01
P715
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
12/13/2006
Last updated
07/08/2007
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