Individual
BRENDA LUZ RIVERA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CARR 165 TORRE 1 SUITE 303, GUAYNABO, PR 00968
(787) 277-0847
Mailing address
PO BOX 925, DORADO, PR 00646-0925
(787) 250-0084
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24148
PR
363A00000X
Physician Assistant
1270-PA
PR
Other
Enumeration date
05/06/2022
Last updated
10/26/2024
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