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Individual
DR. JOHN EDWIN RIVERA JR.
Active
Individual
DR. JOHN EDWIN RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042567
CT
332B00000X
Durable Medical Equipment & Medical Supplies
042567
CT
Other
Enumeration date
04/26/2006
Last updated
03/31/2026
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