Provider Demographics
NPI:1881193852
Name:RIVERA LOPEZ, ABNERIS ENITH (MD)
Entity type:Individual
Prefix:DR
First Name:ABNERIS
Middle Name:ENITH
Last Name:RIVERA LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COSTA DE ORO STREET B BLOCK E93
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-310-1756
Mailing Address - Fax:
Practice Address - Street 1:16-34 AVE AGUAS BUENAS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6631
Practice Address - Country:US
Practice Address - Phone:787-798-0344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-06
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL157483207V00000X
PR23106207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology