Organization
DRA. JUDIBELLE RIVERA DE JESUS MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDIBELLE RIVERA (PRESIDENT)
(787) 825-2420
Entity
Organization
Contact information
Practice address
33 CALLE BALDORIOTY, COAMO, PR 00769-3122
(787) 825-2420
Mailing address
41 CALLE TIBES, MANSIONES DEL SUR, COTO LAUREL, PR 00780-2092
(787) 825-2420
(787) 825-2565
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12140
PR
Other
Enumeration date
03/24/2014
Last updated
11/24/2014
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