Provider Demographics
NPI:1912703893
Name:MEJIAS RIVERA, TAISHA
Entity type:Individual
Prefix:
First Name:TAISHA
Middle Name:
Last Name:MEJIAS RIVERA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND CASA LINDA DEL SUR
Mailing Address - Street 2:2 AVE CASA LINDA APT S-112
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-939-5327
Mailing Address - Fax:
Practice Address - Street 1:COND CASA LINDA DEL SUR
Practice Address - Street 2:2 AVE CASA LINDA APT S-112
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8980
Practice Address - Country:US
Practice Address - Phone:787-939-5327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter