Provider Demographics
NPI:1386216422
Name:RIVERA, BELMARI (RN)
Entity Type:Individual
Prefix:
First Name:BELMARI
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:BELMARI
Other - Middle Name:
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:RR 1 BOX 12422
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-9621
Mailing Address - Country:US
Mailing Address - Phone:393-248-6512
Mailing Address - Fax:
Practice Address - Street 1:LA FUENTE TOWN CENTER 706 CALLE MARGINAL AVE PEDRO ALBI
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-0078
Practice Address - Country:US
Practice Address - Phone:787-296-9777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR82567163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty