Provider Demographics
NPI:1073222154
Name:RIVERA BERNAOLA, PAOLA SOFIA (MPH)
Entity Type:Individual
Prefix:MISS
First Name:PAOLA
Middle Name:SOFIA
Last Name:RIVERA BERNAOLA
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 823
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-0823
Mailing Address - Country:US
Mailing Address - Phone:787-632-0210
Mailing Address - Fax:
Practice Address - Street 1:KM 8.3 CALLE 3
Practice Address - Street 2:AV. 65 DE INFANTERIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-476-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program