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Individual

EDGARDO RIVERA HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12201
PR
207LP2900X
Pain Medicine (Anesthesiology) Physician
12201
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12201
LICENSE
PR
01
89115
SSS
PR
Enumeration date
06/17/2006
Last updated
08/17/2026
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