Provider Demographics
NPI:1689049603
Name:RIVERA-MOJICA, JULIA (BSN, RN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:RIVERA-MOJICA
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE 65 INFANTERIA
Mailing Address - Street 2:PASEO DEL PRADO SHOPPING CENTER
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-7627
Mailing Address - Country:US
Mailing Address - Phone:787-710-2532
Mailing Address - Fax:787-750-2830
Practice Address - Street 1:AVE 65 INFANTERIA
Practice Address - Street 2:PASEO DEL PRADO SHOPPING CENTER
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-7627
Practice Address - Country:US
Practice Address - Phone:787-710-2532
Practice Address - Fax:787-750-2830
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR70275163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4560870OtherDRIVER LICENSE
PR70275OtherRN LICENSE