# RIVA INTERNAL MEDICINE INTEGRATED SERVICES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124265319
- **Authorized official:** DR. JOSE A. RIVERA M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (787) 420-6331

## Contact information

- **Practice address:** 70 CALLE SANTA CRUZ, URB. STA. CRUZ, BAYAMON, PR 00961-7052
- **Practice address phone:** (787) 620-4747
- **Mailing address:** PO BOX 194535, SAN JUAN, PR 00919-4535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 14709 | PR | Yes |

## Other

- **Enumeration date:** 01/10/2009
- **Last updated:** 08/21/2015