1538176375 NPI number — MS. JANIR A. RIVERA-AMILL O.T.

Table of content: MS. JANIR A. RIVERA-AMILL O.T. (NPI 1538176375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538176375 NPI number — MS. JANIR A. RIVERA-AMILL O.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIVERA-AMILL
Provider First Name:
JANIR
Provider Middle Name:
A.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
O.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538176375
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 194288
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00919-4288
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-381-0247
Provider Business Mailing Address Fax Number:
787-755-9005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 592 KM. 5.6
Provider Second Line Business Practice Location Address:
BO. AMUELAS #115
Provider Business Practice Location Address City Name:
JUANA DIAZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00795-2872
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-837-6574
Provider Business Practice Location Address Fax Number:
787-755-9005
Provider Enumeration Date:
08/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com