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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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