# CARLOS RIVERA UROLOGY LLC

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

## Provider details

- **NPI number:** 1790621001
- **Authorized official:** DR. CARLOS ANDRES RIVERA LOPEZ MD (UROLOGIST)
- **Authorized official phone:** (787) 455-2880

## Contact information

- **Practice address:** HOSPITAL MENONITA GUAYAMA, 10011 AV. PEDRO ALBIZU CAMPOS, GUAYAMA, PR 00784
- **Practice address phone:** (787) 864-4300
- **Mailing address:** RIVERSIDE PARK CALLE 1 E14, BAYAMON, PR 00961
- **Mailing address phone:** (787) 455-2880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2026
- **Last updated:** 04/28/2026