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Individual

MR. ELVIN GERARDO RIVERA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
29 WASHINGTON ST, ASHFORD MEDICAL CENTER STE 709, SAN JUAN, PR 00907
(787) 725-2964
(787) 725-2964
Mailing address
ASHFORD AVE #1477, APT 501, SAN JUAN, PR 00907
(787) 728-4474
(787) 725-2964

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12037
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060280
CA
01
10312037CA
GLOBAL HEALTH PLAN
01
220271
PREFERRED HEALTH PLAN
01
2490
AMERICAN HEALTH
01
600509
MMM
01
88600RI
SSS
01
9021
IMC
01
9120264
HUMANA HEALTH PLAN
01
SE4306
PALIC
Enumeration date
05/18/2006
Last updated
07/08/2007
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