Individual
MRS. JESSICA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
371 CALLE CALAF, EMBALSE SAN JOSE, SAN JUAN, PR 00923-1347
(939) 276-9039
Mailing address
EMBALSE SAN JOSE, CALAF 371, SAN JUAN, PR 00923-1347
(939) 276-9039
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8665
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8665
LICENSE
PR
Enumeration date
03/06/2013
Last updated
03/06/2013
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