Provider Demographics
NPI:1992015655
Name:RIVERA ANAYA, CARMEN V (MD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:V
Last Name:RIVERA ANAYA
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:HC67 BOX 141
Mailing Address - Street 2:URB MANSIONES DE SIERRA TAINA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-244-2778
Mailing Address - Fax:
Practice Address - Street 1:258 SAN JORGE STREET
Practice Address - Street 2:SAN JORGE MEDICAL BUILDING SUITE 205
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-244-2778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19480207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism