Provider Demographics
NPI:1700932407
Name:RIVERA AROCHO, BLANCA IVETTE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:BLANCA
Middle Name:IVETTE
Last Name:RIVERA AROCHO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:BLANCA
Other - Middle Name:IVETTE
Other - Last Name:RIVERA AROCHO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:P.O. BOX 713
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685
Mailing Address - Country:US
Mailing Address - Phone:787-487-6753
Mailing Address - Fax:787-827-1213
Practice Address - Street 1:CARR. 124 K.M 1.0 SECTOR FORTUNATO #4
Practice Address - Street 2:
Practice Address - City:LAS MARIAS
Practice Address - State:PR
Practice Address - Zip Code:00670-0067
Practice Address - Country:US
Practice Address - Phone:787-827-1213
Practice Address - Fax:787-827-1213
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0057029Medicare ID - Type Unspecified
PRQ35239Medicare UPIN