Provider Demographics
NPI:1639833858
Name:RIVAS-SUAREZ, ELMER (MSN, CNS, RN)
Entity Type:Individual
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First Name:ELMER
Middle Name:
Last Name:RIVAS-SUAREZ
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Gender:M
Credentials:MSN, CNS, RN
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URB ANDREAS COURT
Mailing Address - Street 2:370 CALLE 10 APDO 169
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-7823
Mailing Address - Country:US
Mailing Address - Phone:787-922-4695
Mailing Address - Fax:
Practice Address - Street 1:12 CALLE TERESA JORNET
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7517
Practice Address - Country:US
Practice Address - Phone:787-777-1285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR3404364SS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SS0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistSchool