1518910595 NPI number — RIVERO'S LABORATORY SLEEP DISORDERS, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518910595 NPI number — RIVERO'S LABORATORY SLEEP DISORDERS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIVERO'S LABORATORY SLEEP DISORDERS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1518910595
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB VILLA NUEVA CARR 172
Provider Second Line Business Mailing Address:
L 7 LOCAL 2 BAJOS
Provider Business Mailing Address City Name:
CAGUAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00725-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-286-1845
Provider Business Mailing Address Fax Number:
787-747-6051

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB VILLA NUEVA L7
Provider Second Line Business Practice Location Address:
CALLE 2 LOCAL 2 BAJOS
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-286-1845
Provider Business Practice Location Address Fax Number:
787-747-6051
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RIVERO ESCOBAR
Authorized Official First Name:
REMBERTO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
SR
Authorized Official Telephone Number:
787-415-4620

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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