Provider Demographics
NPI:1114569217
Name:RIVERA SOSSA, AURA MARIA (RN)
Entity Type:Individual
Prefix:
First Name:AURA
Middle Name:MARIA
Last Name:RIVERA SOSSA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AURA
Other - Middle Name:MARIA
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:15 ONONDAGA RD APT E
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-2909
Mailing Address - Country:US
Mailing Address - Phone:585-200-1343
Mailing Address - Fax:
Practice Address - Street 1:1000 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3042
Practice Address - Country:US
Practice Address - Phone:813-410-0843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY745832163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool