Individual
DR. NICOLE MELISSA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
VIA CORDILLERA F26, LA VISTA, SAN JUAN, PR 00924-8231
(787) 505-2831
Mailing address
VIA CORDILLERA F26, LA VISTA, SAN JUAN, PR 00924-8231
(787) 505-2831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
003112
PR
1223G0001X
General Practice Dentistry
Primary
0401414370
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/11/2012
Last updated
05/25/2014
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