Individual
EDGARDO RIVERA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
COND TORRE AUXILIO MUTUO, 735 AVE PONCE DE LEON OFICINA 704, SAN JUAN, PR 00917-5029
(787) 765-8620
(787) 767-6138
Mailing address
COND TORRE AUXILIO MUTUO, 735 AVE PONCE DE LEON OFICINA 704, SAN JUAN, PR 00917-5029
(787) 765-8620
(787) 767-6138
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
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
04/16/2026
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