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Organization

681 MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALDEMAR RAFAEL RIVERA JIMENEZ MD (MD)
(787) 710-1842
Entity
Organization

Contact information

Practice address
1 CALLE TOMAS DAVILA, BARCELONETA, PR 00617-2798
(787) 600-5661
Mailing address
PO BOX 667, BARCELONETA, PR 00617-0667
(787) 710-1842

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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