Individual
LUZ RAQUEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 BERGEN AVE FL 4, BRONX, NY 10455-1368
(718) 742-8526
Mailing address
555 BERGEN AVE, BRONX, NY 10455-1368
(718) 742-8526
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
467315-1
NY
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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