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Individual

DR. RICARDO E RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 AVE DOMENECH, SUITE 101, SAN JUAN, PR 00918-3710
(787) 705-5677
Mailing address
PO BOX 190679, SAN JUAN, PR 00919-0679
(787) 705-5677

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
15838
PR
2085R0202X
Diagnostic Radiology Physician
Primary
15838
PR
2085U0001X
Diagnostic Ultrasound Physician
15838
PR

Other

Enumeration date
01/24/2006
Last updated
05/03/2023
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