Provider Demographics
NPI:1164215695
Name:RIVERA GARCIA, YELITZA
Entity type:Individual
Prefix:
First Name:YELITZA
Middle Name:
Last Name:RIVERA GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB VILLA ESPANA
Mailing Address - Street 2:CASTILLA R1-10
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-810-1900
Mailing Address - Fax:
Practice Address - Street 1:URB VILLA ESPANA
Practice Address - Street 2:CASTILLA R1-10
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-810-1900
Practice Address - Fax:787-810-1900
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR30192355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant