Organization
DR JORGE RIVERA TORRES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE RIVERA MD (PRESIDENT)
(787) 821-5258
Entity
Organization
Contact information
Practice address
26 CALLE YAGUER, GUANICA, PR 00653-2530
(787) 821-5258
(787) 821-3116
Mailing address
PO BOX 1256, GUANICA, PR 00653-1256
(787) 821-5258
(787) 821-3116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
011818
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11818
LICENCE
PR
Enumeration date
02/06/2007
Last updated
12/13/2012
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