Provider Demographics
NPI:1083434989
Name:RIVERA, SYLMARIS (BSN MSN)
Entity type:Individual
Prefix:MRS
First Name:SYLMARIS
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:BSN MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 CALLE EUGENIO CRUZ
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-5037
Mailing Address - Country:US
Mailing Address - Phone:787-359-8312
Mailing Address - Fax:
Practice Address - Street 1:968 CALLE EUGENIO CRUZ
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-5037
Practice Address - Country:US
Practice Address - Phone:787-359-8312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR76221163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse