Kemuel Martinez Rivera

Individual provider Active NPI Registered Nurse · Rincon, PR

NPI 1174380307 · NPPES record last updated Mar 4, 2024

Key facts

NPI
1174380307
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
038282 (PR)
Practice address
28 Calle Munoz Rivera W
Rincon, PR 00677-2127
Phone
(787) 823-5500
NPI assigned
Mar 4, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
038282PRMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 038282 PR Yes

Addresses

Primary practice location

28 Calle Munoz Rivera W
Rincon, PR 00677-2127

Mailing address

Villa Alba
Calle 10, I - 8
Sabana Grande, PR 00637-1757
Phone (939) 253-2602

Other providers in Rincon, PR

All providers in Rincon, PR · Registered Nurse in Puerto Rico

Sources for this page

Verify at the official NPI Registry.