Individual
MR. CARLOS JOSE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
100 GRAND BOULEVARD PASEOS, GALERIA PASEOS MALL - SUITE 109, SAN JUAN, PR 00926
(787) 283-1554
(787) 283-2776
Mailing address
100 GRAND BOULEVARD PASEOS, SUITE 112-248, SAN JUAN, PR 00926
(787) 632-1555
(787) 283-2776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
929
PR
2251S0007X
Sports Physical Therapist
929
PR
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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