Individual
DR. JORGE JESUS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 VETERANS MEMORIAL PKWY STE 504, EAST PROVIDENCE, RI 02914-5300
(401) 413-1119
(401) 431-1125
Mailing address
450 VETERANS MEMORIAL PKWY STE 504, EAST PROVIDENCE, RI 02914-5300
(401) 431-1119
(401) 431-1125
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
215371
MA
207W00000X
Ophthalmology Physician
MD12036
RI
Other
Enumeration date
06/22/2005
Last updated
06/10/2020
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