Individual
WANDA I RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
59 AVE ESMERALDA, URB PONCE DE LEON, GUAYNABO, PR 00969-4429
(787) 790-3848
Mailing address
59 AVE ESMERALDA, URB PONCE DE LEON, GUAYNABO, PR 00969-4429
(787) 790-3848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
522
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100944
OPTOMETRY
PR
01
—
215953
OPTOMETRY
PR
01
—
50553
OPTOMETRY
PR
01
—
58260
OPTOMETRY
PR
Enumeration date
02/27/2007
Last updated
07/09/2007
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