Dr. Paula M Rivera Millan, MD
Student in an Organized Health Care Education/Training Program in Staten Island, NY. Individual provider (NPI-1).
NPI number1164029286
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1164029286
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paula M Rivera Millan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2020
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 208D00000X | General Practice | 21962 | PR |
Practice location
475 Seaview AveStaten Island, NY 10305-3436
Phone 787-309-4264
Mailing address
Urb. Mansiones Calle 4 E 4San German, PR 00683
Phone 787-309-4264
Other practice locations
Urb. Mansiones Calle 4 E 4
San German, PR 00683
San German, PR 00683
Phone 787-309-4264
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