Provider Demographics
NPI:1396709028
Name:RIVERA, MARIE L (MD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:L
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:618 TURIN ST.
Mailing Address - Street 2:ESTANCIAS DE TORTUGUERO
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3626
Mailing Address - Country:US
Mailing Address - Phone:787-858-8439
Mailing Address - Fax:
Practice Address - Street 1:11 INT AVE SAN LUIS HOSPITAL PAVIA ARECIBO SUITE 119
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3960
Practice Address - Country:US
Practice Address - Phone:787-650-7315
Practice Address - Fax:787-650-7316
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10394207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR87994RIOtherTRIPLE SSS
PR87994RIOtherTRIPLE SSS