Individual
SAMUEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
POLICLINICA BAYANEY CARR 129 KM. 15.1, BARRIO BAYANEY, HATILLO, PR 00659
(787) 898-7990
Mailing address
PO BOX 193335, SAN JUAN, PR 00919-3335
(787) 646-9724
(787) 261-7398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18138
PR
207R00000X
Internal Medicine Physician
201418
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1216950
—
LA
Enumeration date
06/18/2007
Last updated
06/20/2011
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