Provider Demographics
NPI:1104569698
Name:RIVERA CABRERA, MELINNETTE (DC)
Entity type:Individual
Prefix:DR
First Name:MELINNETTE
Middle Name:
Last Name:RIVERA CABRERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 AVE 4 LOS ROSALES
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5629
Mailing Address - Country:US
Mailing Address - Phone:787-384-8844
Mailing Address - Fax:787-946-7520
Practice Address - Street 1:403 CALLE SAN JORGE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3313
Practice Address - Country:US
Practice Address - Phone:787-946-0011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR835111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor