Individual
DR. CARLOS MANUEL RIVERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 CALLE GUARD, AGUADILLA, PR 00603-1304
(787) 890-8477
Mailing address
COMDT(CG-1122) 2100 2ND ST SW, WASHINGTON, DC 20593-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28314
KY
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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