Provider Demographics
NPI:1720123854
Name:RIVERA FEBRES, SARA E (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:E
Last Name:RIVERA FEBRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:AVE. PABLO VELAZQUEZ
Mailing Address - Street 2:A13 ROSA MARIA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-764-0000
Mailing Address - Fax:787-764-3825
Practice Address - Street 1:URB JOSA MARIA
Practice Address - Street 2:AVENIDA PABLO VELAZQUEZ A-13
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-764-0000
Practice Address - Fax:787-764-3825
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR10852208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR10852OtherLICENSE