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Organization

ARARAT LIPODYSTROPHY CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUAN BAUTISTA RIVERA III (EXCECUTIVE DIRECTOS)
(787) 284-5884
Entity
Organization

Contact information

Practice address
8169 CALLE CONCORDIA STE 411, COND. SAN VICENTE, PONCE, PR 00717-1567
(787) 284-5884
(787) 284-5874
Mailing address
8169 CALLE CONCORDIA STE 411, COND. SAN VICENTE, PONCE, PR 00717-1567
(787) 284-5884
(787) 284-5874

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12061
PR
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
11/07/2006
Last updated
09/11/2025
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