Provider Demographics
NPI:1073549184
Name:RIVERA RIVERA, ALMI (MD)
Entity Type:Individual
Prefix:
First Name:ALMI
Middle Name:
Last Name:RIVERA RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D28 CALLE 3
Mailing Address - Street 2:TINTILLO GARDENS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-6844
Mailing Address - Country:US
Mailing Address - Phone:787-213-6051
Mailing Address - Fax:787-268-7271
Practice Address - Street 1:D28 CALLE 3
Practice Address - Street 2:TINTILLO GARDENS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-6844
Practice Address - Country:US
Practice Address - Phone:787-213-6051
Practice Address - Fax:787-268-7271
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13925207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR23452Medicare ID - Type Unspecified