National Provider Identifier
Mayra Ivelisse Rivera-Santiago
Mayra Ivelisse Rivera-Santiago is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-3563.
Profile Overview
- NPI
- 1699523993
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 10, 2024
- Last Updated
- May 10, 2024
Practice Location
- 300 Crittenden Blvd
- Rochester, NY 14642-0001
Phone: (585) 275-3563
Mailing Address
- Urb Valle Del Rey
- Calle Peltada 4946
- Ponce, PR 00728
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1699523993
- Entity Type
- Individual
- Last Name
- Rivera-Santiago
- First Name
- Mayra
- Middle Name
- Ivelisse
- Mailing Street Address
- Urb Valle Del Rey
- Mailing Address Line 2
- Calle Peltada 4946
- Mailing City
- Ponce
- Mailing State
- PR
- Mailing ZIP Code
- 00728
- Mailing Country
- US
- Mailing Phone
- (787) 709-5024
- Practice Street Address
- 300 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-3563
- Enumeration Date
- May 10, 2024
- Last Updated
- May 10, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)