Provider Demographics
NPI:1043941792
Name:CHAPARRO RIVERA, LIMARIS
Entity Type:Individual
Prefix:
First Name:LIMARIS
Middle Name:
Last Name:CHAPARRO RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 32543
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9816
Mailing Address - Country:US
Mailing Address - Phone:787-243-2679
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL BUEN SAMARITANO CARR. EST. PR-460, KM. 0.2
Practice Address - Street 2:BO. CAIMITAL BAJO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00605
Practice Address - Country:US
Practice Address - Phone:787-243-2679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16217I390200000X
PR23585208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program