Individual
LILLIANA RIVERA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
BARRIO BRENAS, STREET 693, NO. 271, VEGA ALTA, PR 00692
(787) 883-3939
(787) 270-4399
Mailing address
BARRIO BRENAS, STREET 693,, NO. 271, VEGA ALTA, PR 00692
(787) 883-3939
(787) 270-4933
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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