Provider Demographics
NPI:1336724467
Name:RIVERA PANELLI, MARIA V (DC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:V
Last Name:RIVERA PANELLI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 4033
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-9570
Mailing Address - Country:US
Mailing Address - Phone:787-516-2010
Mailing Address - Fax:
Practice Address - Street 1:131 CALLE 2
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00965-5803
Practice Address - Country:US
Practice Address - Phone:787-946-4664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor