1205879004 NPI number — DR. JUANA I. RIVERA-VINAS MD, MHSA,

Table of content: DR. JUANA I. RIVERA-VINAS MD, MHSA, (NPI 1205879004)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205879004 NPI number — DR. JUANA I. RIVERA-VINAS MD, MHSA,

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIVERA-VINAS
Provider First Name:
JUANA
Provider Middle Name:
I.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MHSA,
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:
1205879004
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
OB & GYN RCM
Provider Second Line Business Mailing Address:
PO BOX 29134
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00929-0134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-756-0049
Provider Business Mailing Address Fax Number:
787-764-7881

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL UNIVERSITARIO DE ADULTOS MIC
Provider Second Line Business Practice Location Address:
CENTRO MEDICO DE PUERTO RICO
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-756-0049
Provider Business Practice Location Address Fax Number:
787-764-7881
Provider Enumeration Date:
06/13/2006

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: 207V00000X , with the licence number:  8812 , 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)





Copyright © 2007-2025 www.npivalidator.com