Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 8227 | PR |
Y | 207U00000X | Nuclear Medicine Specialist | 8227 | PR |
NPI | 1548260276 |
---|---|
Provider Name | Mrs. Araceli Rivera-Serrano |
First Address | Mayaguez, PR 00681-6468 |
Second Address | Mayaguez, PR 00680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 31/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0581 | IMC (01) | PR |
067418 | CA (01) | PR |
17235 | AMPR (01) | PR |
3003639 | ACAA (01) | PR |
38227 | CIGNA (01) | PR |
660451404 | FSE (01) | PR |
890270 | MMM (01) | PR |
91440003 | HUMANA (01) | PR |
D95886 | (02) | PR |