Rivera, Wanda I

Rivera, Wanda I is an sole proprietor health care provider with primary practice located at 59 Ave Esmeralda Urb Ponce De Leon, Guaynabo PR 00969-4429. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rivera, Wanda I can be contacted via phone (787) 790-3848.

Contact Information

Primary practice address
59 Ave Esmeralda Urb Ponce De Leon Guaynabo PR 00969-4429
Phone: (787) 790-3848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 522 Puerto Rico

Profile Details

NPI number 1407982812
LBN Legal business name Rivera, Wanda I
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407982812 NPPES
Puerto Rico Other 100944 OPTOMETRY
Puerto Rico Other 50553 OPTOMETRY
Puerto Rico Other 58260 OPTOMETRY
Puerto Rico Other 215953 OPTOMETRY

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