Individual
DR. CAROL RIVERA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18737
PR
208600000X
Surgery Physician
12004 I
PR
390200000X
Student in an Organized Health Care Education/Training Program
931675
NY
Other
Enumeration date
08/04/2008
Last updated
08/07/2014
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