Individual
GLENDA J RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
STREET 693, 14.7 BO BRENAS, VEGA ALTA, PR 00692
(787) 663-0204
Mailing address
PASEO LOS CORALES I, 679, DORADO, PR 00646
(787) 663-0204
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
R165290748630
FL
347C00000X
Private Vehicle
R165290748630
ZZ
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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