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Individual

DR. MIGUEL EFRAIN RIVERA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
69 CALLE CELIS AGUILERA, PLAZA DEL PARQUE # 3, SANTA ISABEL, PR 00757-2528
(787) 845-3071
Mailing address
69 CALLE CELIS AGUILERA, P O BOX 266, SANTA ISABEL, PR 00757-2528
(787) 845-3071

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1244
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040694
LA CRUZ AZUL
PR
01
206605
PREFERRED HEALTH
01
2696
INTERNATIONAL MEDICAL CAR
01
41128
TRIPLE S
01
7570021
HUMANA
Enumeration date
08/03/2005
Last updated
07/08/2007
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