Provider Demographics
NPI:1619032893
Name:RIVERA FIGUEROA, MAYRA (MD)
Entity Type:Individual
Prefix:
First Name:MAYRA
Middle Name:
Last Name:RIVERA FIGUEROA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 AVE EMILIANO POL STE 451
Mailing Address - Street 2:URB LAS CUMBRES
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5602
Mailing Address - Country:US
Mailing Address - Phone:787-884-7202
Mailing Address - Fax:787-854-7768
Practice Address - Street 1:497 AVE EMILIANO POL STE 451
Practice Address - Street 2:URB LAS CUMBRES
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926-5602
Practice Address - Country:US
Practice Address - Phone:787-884-7202
Practice Address - Fax:787-854-7768
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR8631174400000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist