Individual
RAFAEL JOSE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCASSUITE 504, PONCE, PR 00716
(787) 651-1432
Mailing address
PMB 374, AVE TITO CASTRO, SUITE 102, PONCE, PR 00716
(787) 709-0791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16384
PR
207RC0000X
Cardiovascular Disease Physician
16384
PR
207RI0011X
Interventional Cardiology Physician
Primary
16384
PR
Other
Enumeration date
09/13/2006
Last updated
05/12/2017
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