Provider Demographics
NPI:1013527266
Name:RIVERA, WILDA MARGARITA (MEDICAL INTERPRETER)
Entity Type:Individual
Prefix:
First Name:WILDA
Middle Name:MARGARITA
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5808 SUMMITVIEW AVE STE A
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3095
Mailing Address - Country:US
Mailing Address - Phone:509-654-0537
Mailing Address - Fax:
Practice Address - Street 1:8506 GARDEN AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-8452
Practice Address - Country:US
Practice Address - Phone:509-654-0537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC11233171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter