# DR. JEAN PAUL INESTA RIVERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356904072
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 22585 | PR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 5039722 | PR | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | FL | — |

## Other

- **Enumeration date:** 04/18/2019
- **Last updated:** 12/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22585 | MEDICAL LICENSE | PR |
| 01 | — | 5039722 | DRIVER LICENSE | PR |