# OFICINA PEDIATRICA DRA EVELYN RIVERA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689054975
- **Authorized official:** DR. EVELYN RIVERA MD (PRESIDENT)
- **Authorized official phone:** (787) 714-0125

## Contact information

- **Practice address:** CARR 172 KM 3.3 OFIC. 104, AVE. EL JIBARO, CIDRA, PR 00739
- **Practice address phone:** (787) 714-0125
- **Practice address fax:** (787) 714-0125
- **Mailing address:** 563 CALLE ARRIGOITIA, EXT. ROOSEVELT, SAN JUAN, PR 00918-3726
- **Mailing address phone:** (787) 714-0125
- **Mailing address fax:** (787) 714-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 09202 | PR | Yes |

## Other

- **Enumeration date:** 06/02/2015
- **Last updated:** 06/02/2015