Provider Demographics
NPI:1720894702
Name:RODRIGUEZ RIVERA, YOSIRA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:YOSIRA
Middle Name:MARIE
Last Name:RODRIGUEZ 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:STREET GRECO A 10
Mailing Address - Street 2:URB. QUINTAS DE MONSERRATE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-298-7192
Mailing Address - Fax:
Practice Address - Street 1:STREET GRECO A 10
Practice Address - Street 2:URB. QUINTAS DE MONSERRATE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-298-7192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR24172208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice