Individual
WANDA L RIVERA BOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARR #3 K.M. 8.3 AVE. 65 INFANTERIA, HOSPITAL UPR, CAROLINA, PR 00914
(787) 757-1800
(787) 750-0930
Mailing address
PO BOX 596, LUQUILLO, PR 00773-0596
(787) 487-2169
(787) 487-2169
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12963
PR
Other
Enumeration date
02/24/2006
Last updated
07/08/2014
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