Individual
ELAINE ILEANA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1451 AVE ASHFORD LBBY AREA, SAN JUAN, PR 00907-1511
(787) 721-2160
Mailing address
12 AVE ALBOLOTE APT 88, GUAYNABO, PR 00969-5505
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24324
PR
208600000X
Surgery Physician
Primary
34861
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2017
Last updated
06/03/2026
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