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Individual
DR. JEAN PAUL INESTA RIVERA
Active
Individual
DR. JEAN PAUL INESTA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22585
PR
390200000X
Student in an Organized Health Care Education/Training Program
5039722
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22585
MEDICAL LICENSE
PR
01
—
5039722
DRIVER LICENSE
PR
Enumeration date
04/18/2019
Last updated
12/20/2021
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