Provider Demographics
NPI:1346380383
Name:HERNANDEZ RIVERA, ANISSA VERONICA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANISSA
Middle Name:VERONICA
Last Name:HERNANDEZ RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-0547
Mailing Address - Country:US
Mailing Address - Phone:787-656-3198
Mailing Address - Fax:787-656-3199
Practice Address - Street 1:C9 AVENIDA LUIS MUNOZ MARIN
Practice Address - Street 2:URB CAGUAX
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-9999
Practice Address - Country:US
Practice Address - Phone:787-202-9387
Practice Address - Fax:939-204-9060
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR146972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry