Provider Demographics
NPI:1902919830
Name:RIVERA, ALMA V (MD)
Entity Type:Individual
Prefix:DR
First Name:ALMA
Middle Name:V
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AU6 CALLE 18
Mailing Address - Street 2:URB. PRADERA
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4080
Mailing Address - Country:US
Mailing Address - Phone:787-784-0952
Mailing Address - Fax:787-474-3740
Practice Address - Street 1:1 CALLE FONT MARTELO E
Practice Address - Street 2:RYDER MEMORIAL HOSPITAL. INC.
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3617
Practice Address - Country:US
Practice Address - Phone:787-852-0768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4819207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8-1889RIOtherTRIPLE S INC BILLING NO.
PRE73858Medicare UPIN
PR8-1889RIOtherTRIPLE S INC BILLING NO.
PR8-1889Medicare ID - Type UnspecifiedMEDICARE BILLING NUMBER