LYDIA LIZ FUENTES RIVERA

JAMAICA, NY
NPI1215423645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: NY  325936)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PR  22193)
207RN0300X Internal Medicine, Nephrology
(Licence: FL  157982)
208D00000X General Practice
(Licence: PR  22193)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR  34120)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR  33454)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR  35007)
Enumeration Date2018-07-09
Last Update Date2023-11-03
Business Address
LYDIA LIZ FUENTES RIVERA MD
8268 164TH ST BLDG 7TH
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
Mailing Address
LYDIA LIZ FUENTES RIVERA MD
7842 73RD PL
GLENDALE, NY 11385-7426
Phone number: 787-363-6914