Basic Information
| Provider Information | |||||||||
| NPI: | 1194858449 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RIVERA | ||||||||
| FirstName: | NITZA | ||||||||
| MiddleName: | HEBE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 CALLE CAOBA | ||||||||
| Address2: | ESTANCIAS DE TORRIMAR | ||||||||
| City: | GUAYNABO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009663165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877829676 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 41 CALLE CAOBA | ||||||||
| Address2: | ESTANCIAS DE TORRIMAR | ||||||||
| City: | GUAYNABO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009663165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877564020 | ||||||||
| FaxNumber: | 7877565480 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 6311 | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.