What is Jessica Nino De Rivera's NPI number?

The NPI number assigned to this healthcare provider is 1669174306, enumerated as a individual on March 20, 2023.

Where is the provider located?

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 726-2000.

DR. JESSICA NINO DE RIVERA MD - NPI 1669174306 - Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Jessica Nino De Rivera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA NINO DE RIVERA MD (NPI 1669174306) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1669174306

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JESSICA NINO DE RIVERACredential: MD

Location Address55 FRUIT STBoston, MA 02114-2621

Mailing Address55 Fruit StBoston, MA 02114-2621 · (617) 726-2000

Phone(617) 726-2000

Sole ProprietorNo

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 18, 2023

✔ NPI 1669174306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

55 FRUIT ST, Boston, MA 02114

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