Provider Demographics
NPI:1205022795
Name:MARMORATO RIVERA, ROSSELLA (MD)
Entity type:Individual
Prefix:DR
First Name:ROSSELLA
Middle Name:
Last Name:MARMORATO RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SENDEROS DR
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7076
Mailing Address - Country:US
Mailing Address - Phone:787-767-9164
Mailing Address - Fax:787-767-3311
Practice Address - Street 1:CENTRO CARDIOVASCULAR DE PR Y DEL CARIBE
Practice Address - Street 2:AVE AMERICO MIRANDA, 1ER PISO SUITE #14, CENTRO MEDICO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-767-9164
Practice Address - Fax:787-767-3311
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18016207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine