Individual
JUAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
53 CALLE GARRIDO MORALES E, FAJARDO, PR 00738-4665
(787) 863-2549
(787) 852-4685
Mailing address
PO BOX 1087, FAJARDO, PR 00738-1087
(787) 863-2549
(787) 852-4685
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
995
PR
Other
Enumeration date
10/14/2005
Last updated
10/06/2011
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