Provider Demographics
NPI:1871729459
Name:RIVERA, FELIX DONES JR (RNFA)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:DONES
Last Name:RIVERA
Suffix:JR
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 MILLTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2506
Mailing Address - Country:US
Mailing Address - Phone:908-393-1578
Mailing Address - Fax:
Practice Address - Street 1:499 MILLTOWN RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2506
Practice Address - Country:US
Practice Address - Phone:908-393-1578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09673900374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel