Individual provider · NPI-1

Lisandra Rivera Aviles, OT

Occupational Therapist · Vega Alta, PR

NPI number1114210796
StatusActive
Last updated in NPPESMay 17, 2011

Details

NPI
1114210796
Entity type
Individual (NPI-1)
Name
Lisandra Rivera Aviles
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2011
Last updated
May 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist966PRYes

Practice location

Carretera 693 Bo. Brenas
Edif. Anchor Heart Suite 6
Vega Alta, PR 00692

Phone 787-270-2686 · Fax 787-270-5292

Mailing address

Po Box 468
Vega Baja, PR 00694-0468

Phone 787-596-3497 · Fax 787-270-5292

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