Provider Demographics
NPI:1801515341
Name:BAIRES RIVERA, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BAIRES 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 1:5309 RIVERDALE RD APT 715
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-2234
Mailing Address - Country:US
Mailing Address - Phone:301-273-8860
Mailing Address - Fax:
Practice Address - Street 1:5309 RIVERDALE RD APT 715
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-2234
Practice Address - Country:US
Practice Address - Phone:301-273-8860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide