Provider Demographics
NPI:1639405814
Name:RIVERA ESQUERDO, IRMA CARMEN (RRT,RPSGTCPFT)
Entity Type:Individual
Prefix:MRS
First Name:IRMA
Middle Name:CARMEN
Last Name:RIVERA ESQUERDO
Suffix:
Gender:F
Credentials:RRT,RPSGTCPFT
Other - Prefix:
Other - First Name:IRMA
Other - Middle Name:CARMEN
Other - Last Name:R. ESQUERDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5025 VIA CANGREJOS CAMINO DEL MAR
Mailing Address - Street 2:CAMINO DEL MAR
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-0000
Mailing Address - Country:US
Mailing Address - Phone:787-525-1048
Mailing Address - Fax:787-221-4979
Practice Address - Street 1:5025 VIA CANGREJOS
Practice Address - Street 2:CAMINO DEL MAR
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4347
Practice Address - Country:US
Practice Address - Phone:787-525-1048
Practice Address - Fax:787-221-4979
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004142279C0205X, 2279H0200X, 2279P1004X, 2279P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics
No2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/Pediatrics