Provider Demographics
NPI:1003024498
Name:RIVERA FIGUEROA, MARTA I (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:I
Last Name:RIVERA FIGUEROA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1551
Mailing Address - Country:US
Mailing Address - Phone:787-864-6238
Mailing Address - Fax:787-864-4554
Practice Address - Street 1:405 CALLE JB RODRIGUEZ APT 17031
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2535
Practice Address - Country:US
Practice Address - Phone:787-557-7523
Practice Address - Fax:787-864-4554
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR76422083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCT120591OtherCOLEGIO MEDICO DE PUERTO RICO
PR7642OtherMEDICAL LICENSE