Provider Demographics
NPI:1306840160
Name:RIVERA LINARES, ANTHONY R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:R
Last Name:RIVERA LINARES
Suffix:
Gender:M
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:G15 CALLE 8
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-8584
Mailing Address - Country:US
Mailing Address - Phone:787-740-3647
Mailing Address - Fax:787-251-7608
Practice Address - Street 1:AVE. MAIN #12 BLOQUE 54 SANTA ROSA
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-251-7614
Practice Address - Fax:787-251-7608
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14466146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH69561Medicare UPIN
PR21084Medicare ID - Type Unspecified