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Individual
JESUS RAFAEL RIVERA VEGA
Active
Individual
JESUS RAFAEL RIVERA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
98722
PR
174H00000X
Health Educator
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
09/30/2022
Last updated
10/10/2022
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