Individual
MRS. LUZ J RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
AVE RAFAEL CORDERO, #301 WALMART VISION CENTER, CAGUAS, PR 00725
(787) 286-8491
Mailing address
894 VIA PALMASOLA, HACIENDA SAN JOSE, CAGUAS, PR 00727-3085
(787) 286-8491
(787) 286-8730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
365
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215954
PREFERRED HEALTH PLAN
PR
01
—
57704
SSS
PR
Enumeration date
08/07/2006
Last updated
07/08/2007
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