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Individual

MRS. NAIDA IVETTE RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10 CALLE ACACIA, SAN JUAN, PR 00921-3201
(787) 641-7582
Mailing address
PO BOX 561621, GUAYANILLA, PR 00656-4061
(787) 992-7050
(787) 992-7050

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
022798
PR
3416L0300X
Land Ambulance
Primary
TC AMB 363
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022798
PROFESSIONAL LICENSE NUMBER
PR
Enumeration date
09/12/2008
Last updated
04/05/2012
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