Provider Demographics
NPI:1194269654
Name:RIVERA-MARTINEZ, FLORITA
Entity type:Individual
Prefix:MS
First Name:FLORITA
Middle Name:
Last Name:RIVERA-MARTINEZ
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 1:878 CALLE ZUMBADOR
Mailing Address - Street 2:URB. COUNTRY CLUB
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3306
Mailing Address - Country:US
Mailing Address - Phone:787-529-8780
Mailing Address - Fax:
Practice Address - Street 1:878 CALLE ZUMBADOR
Practice Address - Street 2:URB. COUNTRY CLUB
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3306
Practice Address - Country:US
Practice Address - Phone:787-529-8780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY725712163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse