Provider Demographics
NPI:1427806736
Name:RIVERA FERRER, MARLENE DIANE
Entity type:Individual
Prefix:
First Name:MARLENE
Middle Name:DIANE
Last Name:RIVERA FERRER
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:URB LA NUEVA SALAMANCA
Mailing Address - Street 2:113 MADRID
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:US
Mailing Address - Phone:787-508-3484
Mailing Address - Fax:
Practice Address - Street 1:URB LA NUEVA SALAMANCA
Practice Address - Street 2:113 MADRID
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-508-3484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program