Provider Demographics
NPI:1194911057
Name:RIVERA, MARGARITA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CALLE LA PUNTILLA FINAL
Mailing Address - Street 2:BASE DE LA GUARDIA COSTERA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901
Mailing Address - Country:US
Mailing Address - Phone:787-729-2305
Mailing Address - Fax:787-729-2336
Practice Address - Street 1:5 CALLE LA PUNTILLA FINAL
Practice Address - Street 2:BASE DE LA GUARDIA COSTEREA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:202-267-0801
Practice Address - Fax:202-267-4685
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR013801163WG0000X
PR0785163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice