Provider Demographics
NPI:1750726584
Name:DE JESUS RIVERA, ZORIMA
Entity type:Individual
Prefix:MISS
First Name:ZORIMA
Middle Name:
Last Name:DE JESUS RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7008 CALLE BEGONIA
Mailing Address - Street 2:URB. BUENA VENTURA
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1287
Mailing Address - Country:US
Mailing Address - Phone:787-832-6332
Mailing Address - Fax:787-833-5574
Practice Address - Street 1:345 CALLE RAMON EMETERIO BETANCES
Practice Address - Street 2:2DO PISO SUITE 201
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1200
Practice Address - Country:US
Practice Address - Phone:787-832-6332
Practice Address - Fax:787-833-5574
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other