Individual
DR. RANDY OMAR RIVERA AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 CALLE SAN ANTONIO, ANASCO, PR 00610-2927
(787) 826-4400
Mailing address
PO BOX 44, ANASCO, PR 00610-0044
(787) 826-4400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006846
PR
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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