Individual
DR. ADA IRIS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
652 CARRETERA 28, METROPOLITAN DETENTION CENTER, GUAYNABO, PR 00962-5700
(787) 775-7927
(787) 775-7994
Mailing address
RR 3 BOX 7289, LA PENINSULA, CIDRA, PR 00739-9346
(787) 775-7927
(787) 775-7994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5888
PR
261QP2400X
Prison Health Clinic/Center
Primary
5888
PR
Other
Enumeration date
05/21/2007
Last updated
03/12/2012
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