Individual
MR. CARMELO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
355 CALLE FONT MARTELO, HUMACAO, PR 00791-3249
(787) 852-0768
Mailing address
355 CALLE FONT MARTELO, HUMACAO, PR 00791-3249
(787) 852-0768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21444
PR
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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