Provider Demographics
NPI:1194858449
Name:RIVERA, NITZA HEBE (MD)
Entity Type:Individual
Prefix:DR
First Name:NITZA
Middle Name:HEBE
Last Name: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 1:41 CALLE CAOBA
Mailing Address - Street 2:ESTANCIAS DE TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3165
Mailing Address - Country:US
Mailing Address - Phone:787-782-9676
Mailing Address - Fax:
Practice Address - Street 1:41 CALLE CAOBA
Practice Address - Street 2:ESTANCIAS DE TORRIMAR
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3165
Practice Address - Country:US
Practice Address - Phone:787-756-4020
Practice Address - Fax:787-756-5480
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6311208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics