Provider Demographics
NPI:1831419936
Name:RIVERA, HECTOR NAPOLEON (COTA)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:NAPOLEON
Last Name:RIVERA
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10853 62ND DR APT 1L
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1220
Mailing Address - Country:US
Mailing Address - Phone:347-624-1846
Mailing Address - Fax:
Practice Address - Street 1:10853 62ND DR APT 1L
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1220
Practice Address - Country:US
Practice Address - Phone:347-624-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004177-1224ZR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantDriving and Community Mobility