Provider Demographics
NPI:1891805164
Name:RIVERA COLON, GUIREIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:GUIREIDA
Middle Name:
Last Name:RIVERA COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 975
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-0975
Mailing Address - Country:US
Mailing Address - Phone:787-837-5952
Mailing Address - Fax:787-837-5952
Practice Address - Street 1:24 CALLE DR VEVE
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1652
Practice Address - Country:US
Practice Address - Phone:787-837-5952
Practice Address - Fax:787-837-5952
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13192207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR601889OtherMMM HEALTHCARE
PR20650RIOtherTRIPLE S
PR2258OtherPREFFERED MEDICARE CHOICE
PR7950017OtherHUMANA INSURANCE PR
PR9000573OtherCRUZ AZUL
PR20650RIOtherTRIPLE S
PR7950017OtherHUMANA INSURANCE PR