Provider Demographics
NPI:1174493555
Name:RIVERA ROSARIO, SULAI YASMIN II (ENFERMERA REGISTRADA)
Entity type:Individual
Prefix:MRS
First Name:SULAI
Middle Name:YASMIN
Last Name:RIVERA ROSARIO
Suffix:II
Gender:F
Credentials:ENFERMERA REGISTRADA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLA DEL CARMEN
Mailing Address - Street 2:CALLE SAMOA 1242
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-299-2383
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLA DEL CARMEN
Practice Address - Street 2:CALLE SAMOA 1242
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-299-2383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR94368163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty