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Individual

DR. WALDEMAR RAFAEL RIVERA JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 CALLE TOMAS DAVILA, BARCELONETA, PR 00617-2736
(787) 846-6890
Mailing address
PO BOX 359, BARCELONETA, PR 00617-0359
(787) 846-4447
(787) 970-5458

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15969
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23836RI
SSS
PR
Enumeration date
04/20/2006
Last updated
10/26/2010
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