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Individual
JASER RIVERA RIVERA
Active
Individual
JASER RIVERA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
70672
PR
163WG0000X
General Practice Registered Nurse
Primary
70672
PR
282NR1301X
Rural Acute Care Hospital
70672
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0003729
TRIPLE S
PR
Enumeration date
01/20/2016
Last updated
01/20/2016
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