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Individual

GABRIEL RIVERA SEPULVEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CAR #2 KM 167.2 BO. DUEY BAJO SECTOR NAZARIO, SAN GERMAN, PR 00683
(787) 951-4442
Mailing address
PO BOX 2088, SAN GERMAN, PR 00683-2088
(787) 951-4442

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17703
PR

Other

Enumeration date
08/17/2009
Last updated
06/12/2010
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