Individual
DR. CARMEN C DE JESUS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
765 AVE SAN PATRICIO, URB. LAS LOMAS, SAN JUAN, PR 00921-1302
(787) 782-3870
(787) 708-1354
Mailing address
444 CALLE REY LUIS, LA VILLA DE TORRIMAR, GUAYNABO, PR 00969-3170
(787) 782-3870
(787) 708-1354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6955
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6163DM0
STATE NARCOTIC LICENCE
PR
01
—
6955
STATE LICENCE NUMBER
PR
Enumeration date
08/15/2006
Last updated
07/08/2007
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