Provider Demographics
NPI:1952115321
Name:RIVERA, ADRIANNA ISABELLE
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:ISABELLE
Last Name: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 1:714 CALLE ESTANCIA
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-9603
Mailing Address - Country:US
Mailing Address - Phone:787-632-0571
Mailing Address - Fax:
Practice Address - Street 1:714 CALLE ESTANCIA
Practice Address - Street 2:
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-9603
Practice Address - Country:US
Practice Address - Phone:787-632-0571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program