Provider Demographics
NPI:1811724420
Name:DRA GABRIELA M MONTES RIVERA
Entity type:Organization
Organization Name:DRA GABRIELA M MONTES RIVERA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONTES RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-884-2888
Mailing Address - Street 1:1682 CALLE JAZMIN
Mailing Address - Street 2:URB SAN FRANCISCO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6318
Mailing Address - Country:US
Mailing Address - Phone:787-884-2888
Mailing Address - Fax:
Practice Address - Street 1:1 CALLE JOSE D CANDELAS
Practice Address - Street 2:STE 108 MANATI MEDICAL PLAZA
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5507
Practice Address - Country:US
Practice Address - Phone:787-884-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty