Provider Demographics
NPI:1750027876
Name:RIVERA-GARCES, NINOTCHKA MARIE
Entity Type:Individual
Prefix:
First Name:NINOTCHKA
Middle Name:MARIE
Last Name:RIVERA-GARCES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO LOS CORALES
Mailing Address - Street 2:632 MAR DE BERING
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-356-2883
Mailing Address - Fax:
Practice Address - Street 1:632 PASEO LOS CORALES 1
Practice Address - Street 2:CALLE MAR DE BERING
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-0064
Practice Address - Country:US
Practice Address - Phone:787-356-2883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist