1629185749 NPI number — MILITZA CANINO RIVERA MD

Table of content: MILITZA CANINO RIVERA MD (NPI 1629185749)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629185749 NPI number — MILITZA CANINO RIVERA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CANINO RIVERA
Provider First Name:
MILITZA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1629185749
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/17/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 URB CAGUAS REAL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAGUAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00725-9050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-810-1868
Provider Business Mailing Address Fax Number:
787-810-1868

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB. SAN ANTONIO CARR 924
Provider Second Line Business Practice Location Address:
CALLE 1 A1 SUITE 4
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00792
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-645-9097
Provider Business Practice Location Address Fax Number:
787-719-6971
Provider Enumeration Date:
08/24/2006

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: 208D00000X , with the licence number:  14904 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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