Individual
MRS. ZULLY RUBI DE JESUS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
770 AVE. HOSTOS EDIFICIO POLICLINICO BELLA VISTA, STE. 203, MAYAGUEZ, PR 00680
(787) 636-3300
Mailing address
770 AVE. HOSTOS EDIFICIO POLICLINICO BELLA VISTA, STE. 203, MAYAGUEZ, PR 00680
(787) 636-3300
(787) 833-5574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3183
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491523
—
NY
05
—
039050901
—
PR
01
—
3183
PUERTO RICO HEALTH DEPARTMENT
PR
01
—
9176692
DORAL
NY
Enumeration date
02/19/2007
Last updated
10/26/2023
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