Provider Demographics
NPI:1588662860
Name:RIVERA SANCHEZ, MARIA I (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:I
Last Name:RIVERA SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 55008
Mailing Address - Street 2:STATION 1
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-4008
Mailing Address - Country:US
Mailing Address - Phone:787-786-3833
Mailing Address - Fax:787-786-5400
Practice Address - Street 1:BETANCES #11
Practice Address - Street 2:ESQUINA MARTI
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-786-3833
Practice Address - Fax:787-786-5400
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8318207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E63009Medicare UPIN
8-1838Medicare ID - Type Unspecified