Individual
WIGIE RIVERA JOUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
URB COUNTRY CLUB, 797, SAN JUAN, PR 00924
(939) 218-5848
Mailing address
PO BOX 43002, RIO GRANDE, PR 00745-6601
(939) 218-5848
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0000179
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4583516
—
PR
Enumeration date
07/16/2020
Last updated
12/16/2021
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