Provider Demographics
NPI:1225074347
Name:RIVERA MOLINA, ZORAIDA (MD)
Entity Type:Individual
Prefix:
First Name:ZORAIDA
Middle Name:
Last Name:RIVERA MOLINA
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:PO BOX 29568 65TH INFANTRY STATION
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0065
Mailing Address - Country:US
Mailing Address - Phone:787-754-7133
Mailing Address - Fax:787-771-9131
Practice Address - Street 1:CALLE ARIZMENDI
Practice Address - Street 2:#210
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-754-7133
Practice Address - Fax:787-771-9131
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9775208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
F18833Medicare UPIN
0082284Medicare ID - Type Unspecified