Provider Demographics
NPI:1902627383
Name:RIVERA TORRES, ALONDRA ZOE
Entity type:Individual
Prefix:
First Name:ALONDRA
Middle Name:ZOE
Last Name:RIVERA TORRES
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:CONDOMINIO RIVER PARK 10 CALLE SANTA CRUZ
Mailing Address - Street 2:APARTAMENTO L202
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-8500
Mailing Address - Country:US
Mailing Address - Phone:787-925-9869
Mailing Address - Fax:
Practice Address - Street 1:998 SAN ROBERTO STREET PROFESSIONAL OFFICE PARK
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-773-6501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program