Individual
MAITESSU ADILEN RIVERA NIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
565 SECT PITILLO, MAYAGUEZ, PR 00682-7311
(939) 285-4650
Mailing address
565 SECT PITILLO, MAYAGUEZ, PR 00682-7311
(939) 285-4650
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22973
PR
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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