Individual
ROBERTO RIVERA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
VA CARIBBEAN HEALTHCARE SYSTEM 10 CALLE CASIA, SAN JUAN, PR 00921
(787) 641-7582
Mailing address
PO BOX 9429, BAYAMON, PR 00960-9429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21774
PR
208M00000X
Hospitalist Physician
Primary
21774
PR
Other
Enumeration date
04/15/2015
Last updated
07/22/2020
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