# EDGARDO RIVERA HERNANDEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164467171
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 12201 | PR | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 12201 | PR | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12201 | LICENSE | PR |
| 01 | — | 89115 | SSS | PR |