Provider Demographics
NPI:1083341085
Name:RIVERA NAZARIO, ZAHIRA DANELYS
Entity Type:Individual
Prefix:DR
First Name:ZAHIRA
Middle Name:DANELYS
Last Name:RIVERA NAZARIO
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:PO BOX 1104
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-1104
Mailing Address - Country:US
Mailing Address - Phone:939-313-1556
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL PAVIA YAUCO
Practice Address - Street 2:CARR128 KM 1.0
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-856-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22893208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice