Provider Demographics
NPI:1801787411
Name:RIVERA PEREZ, ALYRIS
Entity type:Individual
Prefix:
First Name:ALYRIS
Middle Name:
Last Name:RIVERA PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB VILLA FONTANA JR8 VIA 16
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00963-3925
Mailing Address - Country:US
Mailing Address - Phone:787-362-5502
Mailing Address - Fax:
Practice Address - Street 1:CALLE DE LA CRUZ 10 Y 12
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745-9998
Practice Address - Country:US
Practice Address - Phone:939-390-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1386225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist