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Individual

DR. CEDRIC RIVERA BOLOMEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
29 CALLE WASHINGTON STE 708, SAN JUAN, PR 00907-1503
(787) 724-3900
(787) 723-6674
Mailing address
29 CALLE WASHINGTON STE 708, SAN JUAN, PR 00907-1503
(787) 724-3900
(787) 723-6674

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8684
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
067323
CRUZ AZUL BLUE CROSS BS
PR
01
9090065
HUMANA INSURANCE
PR
Enumeration date
01/25/2006
Last updated
01/11/2012
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