Provider Demographics
NPI:1548887151
Name:RIVERA LEON, ALEXANDRA
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:
Last Name:RIVERA LEON
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:HOSPITAL COMUNITARIO BUEN SAMARITANO INC.
Mailing Address - Street 2:CARR 2 AVENIDA SEVERIANO CUEVAS 18 BO. CAIMITAL BAJO
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-658-0000
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL BUEN SAMARITANO AVENIDA SEVERIANO CUEVAS
Practice Address - Street 2:#18 KM. 141.1 BO CAIMITAL BAJO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-658-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program