Provider Demographics
NPI:1477335800
Name:GARCIA RIVERA, NAHIR MARIE
Entity Type:Individual
Prefix:
First Name:NAHIR
Middle Name:MARIE
Last Name:GARCIA 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:PARC PUNTA PALMAS 146
Mailing Address - Street 2:CALLE PLAYEROS
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617
Mailing Address - Country:US
Mailing Address - Phone:939-350-5933
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO COMERCIAL LOCAL 1 URB CATALANA #66
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-815-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4453235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist