Provider Demographics
NPI:1538176375
Name:RIVERA-AMILL, JANIR A (OT)
Entity type:Individual
Prefix:MS
First Name:JANIR
Middle Name:A
Last Name:RIVERA-AMILL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 194288
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-4288
Mailing Address - Country:US
Mailing Address - Phone:787-381-0247
Mailing Address - Fax:787-755-9005
Practice Address - Street 1:CARR. 592 KM. 5.6
Practice Address - Street 2:BO. AMUELAS #115
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-2872
Practice Address - Country:US
Practice Address - Phone:787-837-6574
Practice Address - Fax:787-755-9005
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist