Individual
DR. EMILIA DEL C CARDONA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
218 DR FERNANDEZ ST, P-2, TRUJILLO ALTO, PR 00976
(787) 755-7170
Mailing address
218 DR FERNANDEZ ST, P-2, TRUJILLO ALTO, PR 00976
(787) 755-7170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1116
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041555
CRUZ AZUL
—
01
—
206480
PREFERRED HEALTH UTI
—
01
—
4077
FIRST MEDICAL HEALTH PLAN
—
01
—
41790
SSS
—
01
—
9760008
HUMANA
—
Enumeration date
09/20/2006
Last updated
05/11/2016
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