Maria Elizabeth Rivera
Individual provider Active NPI Specialist · Trijillo Alto, PR
NPI 1477098366 · NPPES record last updated Dec 30, 2016
Key facts
- NPI
- 1477098366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 2014018 (PR)
- Practice address
- Bosque del Lago BC 38
Plaza 9 Encantada
Trijillo Alto, PR 00976 - Phone
- (787) 424-4383
- NPI assigned
- Dec 30, 2016
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014018 | PR | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2014018 | PR | Yes |
Addresses
Primary practice location
Bosque del Lago BC 38
Plaza 9 Encantada
Trijillo Alto, PR 00976
Mailing address
Bosque del Lago BC 38
Plaza 9 Encantada
Trujillo Alto, PR 00976
Phone (787) 424-4383
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.