Individual
EDGARDO J RIVERA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
B9 CALLE BENITEZ, GUAYNABO, PR 00969-3437
(787) 209-5939
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22979
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
10/21/2019
Last updated
09/06/2022
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