Individual
MRS. IVELISSE RIVERA BORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
735 PONCE DE LEON AVENUE, HOSP AUXILIO MUTUO EDIFICIO SAN VICENTE, SAN JUAN, PR 00917-5022
(787) 568-5486
(787) 773-8041
Mailing address
PO BOX 195612, SAN JUAN, PR 00919-5612
(787) 562-3334
(787) 773-8040
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
12948
PR
246ZN0300X
Nephrology Specialist/Technologist
Primary
12948
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90266RJ
SSS
PR
01
—
90266RS
SSS INSURANCE
—
Enumeration date
08/01/2006
Last updated
09/21/2018
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