Individual provider · Type 1 NPI

Ibis Mable Rivera

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1487094413 Active

Practice location

1680 Albany Ave
Hartford, CT 06105-1001

Call (860) 236-4511 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487094413

Ibis Mable Rivera's National Provider Identifier is 1487094413, issued on Jul 5, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Jul 10, 2013.