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Individual
DR. JORGE L RIVERA MIRABAL
Active
Individual
DR. JORGE L RIVERA MIRABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
024645
PR
208600000X
Surgery Physician
BP10056345
TX
208800000X
Urology Physician
Primary
024645
PR
208800000X
Urology Physician
BP10056345
TX
208800000X
Urology Physician
ME153764
FL
Other
Enumeration date
09/12/2014
Last updated
10/10/2025
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