Provider Demographics
NPI:1477017291
Name:RIVERA, CRISTINA ISABEL
Entity Type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:ISABEL
Last Name:RIVERA
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 1:195 AVE ARTERIAL HOSTOS APT 4018
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2948
Mailing Address - Country:US
Mailing Address - Phone:787-560-0582
Mailing Address - Fax:
Practice Address - Street 1:195 AVE ARTERIAL HOSTOS APT 4018
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2948
Practice Address - Country:US
Practice Address - Phone:787-560-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program