Provider Demographics
NPI:1518910595
Name:RIVERO'S LABORATORY SLEEP DISORDERS, INC
Entity Type:Organization
Organization Name:RIVERO'S LABORATORY SLEEP DISORDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR
Authorized Official - Prefix:
Authorized Official - First Name:REMBERTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIVERO ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-415-4620
Mailing Address - Street 1:URB VILLA NUEVA CARR 172
Mailing Address - Street 2:L 7 LOCAL 2 BAJOS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-0000
Mailing Address - Country:US
Mailing Address - Phone:787-286-1845
Mailing Address - Fax:787-747-6051
Practice Address - Street 1:URB VILLA NUEVA L7
Practice Address - Street 2:CALLE 2 LOCAL 2 BAJOS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0000
Practice Address - Country:US
Practice Address - Phone:787-286-1845
Practice Address - Fax:787-747-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic