Individual
TANYA SHALIE RIVERA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 180, PALMER, PR 00721-0180
(787) 909-3099
Mailing address
PO BOX 180, PALMER, PR 00721-0180
(787) 909-3099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1368
PR
Other
Enumeration date
08/11/2026
Last updated
08/12/2026
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