Provider Demographics
NPI:1164659736
Name:MOLINA RIVERA, EFFIE (MS-SLP)
Entity Type:Individual
Prefix:
First Name:EFFIE
Middle Name:
Last Name:MOLINA RIVERA
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. ESTANCIAS DEL BOSQUE
Mailing Address - Street 2:75 CALLE ESTANCIAS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-203-8929
Mailing Address - Fax:
Practice Address - Street 1:URB. ESTANCIAS DEL BOSQUE
Practice Address - Street 2:75 CALLE ESTANCIAS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-203-8929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1267227800000X
PR834235Z00000X
PR1357225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist