Provider Demographics
NPI:1992895973
Name:RIVERO-SALINAS, DELIA Y (MD)
Entity type:Individual
Prefix:PROF
First Name:DELIA
Middle Name:Y
Last Name:RIVERO-SALINAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DELIA
Other - Middle Name:Y
Other - Last Name:RIVERO-SALINAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:E1 CALLE MUNICIPAL
Mailing Address - Street 2:URB. QUINTAS DEL NORTE
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-5209
Mailing Address - Country:US
Mailing Address - Phone:787-744-2190
Mailing Address - Fax:787-744-2190
Practice Address - Street 1:E1 CALLE MUNICIPAL
Practice Address - Street 2:URB. QUINTAS DEL NORTE
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5209
Practice Address - Country:US
Practice Address - Phone:787-744-2190
Practice Address - Fax:787-744-2190
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14947174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR138440Medicare UPIN
PR2-3402Medicare ID - Type Unspecified