Individual
ROBERT RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR. PR 173, KM 6, HM5, SECTOR SAN JOSE, BO. RABANAL, CIDRA, PR 00739
(787) 520-7390
(787) 520-7108
Mailing address
P.O. BOX 459, CIDRA, PR 00739
(787) 520-7390
(787) 520-7108
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
9611
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417038969
—
PR
Enumeration date
09/11/2019
Last updated
09/11/2025
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