Provider Demographics
NPI:1730566464
Name:HUERTAS-RIVERA, AMARILIS
Entity type:Individual
Prefix:
First Name:AMARILIS
Middle Name:
Last Name:HUERTAS-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:J14 CALLE 6 ESTANCIAS DE CERRO GORDO
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-6821
Mailing Address - Country:US
Mailing Address - Phone:787-525-7976
Mailing Address - Fax:
Practice Address - Street 1:KM 1.5, PR-787, CIDRA, 00739
Practice Address - Street 2:FIRST HOSPITAL PANAMERICANO
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR212382084P0015X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine