Provider Demographics
NPI:1821578303
Name:RIVERA-OYOLA, KIARA YARIE (DC)
Entity Type:Individual
Prefix:
First Name:KIARA
Middle Name:YARIE
Last Name:RIVERA-OYOLA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KIARA
Other - Middle Name:YARIE
Other - Last Name:RIVERA-OYOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6 RAVENWORTH CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4086
Mailing Address - Country:US
Mailing Address - Phone:787-238-0731
Mailing Address - Fax:
Practice Address - Street 1:6 RAVENWORTH CT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4086
Practice Address - Country:US
Practice Address - Phone:787-238-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000977111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor