Provider Demographics
NPI:1487466108
Name:ORTIZ RIVERA, YOSELYN ERENIA
Entity type:Individual
Prefix:
First Name:YOSELYN
Middle Name:ERENIA
Last Name:ORTIZ RIVERA
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 1:5724 2ND ST NE APT 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2551
Mailing Address - Country:US
Mailing Address - Phone:202-270-4085
Mailing Address - Fax:
Practice Address - Street 1:5724 2ND ST NE APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2551
Practice Address - Country:US
Practice Address - Phone:202-270-4085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant