Provider Demographics
NPI:1326624727
Name:RIVERA SANCHEZ, NEMESIS MARIE
Entity Type:Individual
Prefix:MISS
First Name:NEMESIS
Middle Name:MARIE
Last Name:RIVERA SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AR16 CALLE 30, URB. BAIROA
Mailing Address - Street 2:URB. BAIROA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1525
Mailing Address - Country:US
Mailing Address - Phone:787-226-6864
Mailing Address - Fax:
Practice Address - Street 1:AR16 CALLE 30 URB. BAIROA
Practice Address - Street 2:URB. BAIROA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1525
Practice Address - Country:US
Practice Address - Phone:787-226-6864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist