# JASER RIVERA RIVERA

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

## Provider details

- **NPI number:** 1255798443
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 70672 | PR | — |
| 163WG0000X | General Practice Registered Nurse | 70672 | PR | Yes |
| 282NR1301X | Rural Acute Care Hospital | 70672 | PR | — |

## Other

- **Enumeration date:** 01/20/2016
- **Last updated:** 01/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | SP0003729 | TRIPLE S | PR |
