Individual provider · Type 1 NPI
Ada Iris Rivera, MD
Prison Health Clinic/Center · Guaynabo, PR
NPI number
1942419841
Active
Practice location
652 Carretera 28, Metropolitan Detention Center
Guaynabo, PR 00962-5700
Fax (787) 775-7994
Mailing address
RR 3 Box 7289, La Peninsula
Cidra, PR 00739-9346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | 5888 (PR) |
| Internal Medicine Physician | 207R00000X | 5888 (PR) |
Prison Health Clinic/Center: Definition to come...
About NPI 1942419841
Ada Iris Rivera, MD's National Provider Identifier is 1942419841, issued on May 21, 2007. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Guaynabo, PR. The record was last updated on Mar 12, 2012.