Individual
EDGARDO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ASHFORD MEDICAL CTR, SUITE 402, SAN JUAN, PR 00907-1510
(787) 724-8441
Mailing address
URB VILLA LISSETTE, B 9 CALLE BENITEZ, GUAYNABO, PR 00969
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12180
PR
Other
Enumeration date
05/19/2006
Last updated
03/17/2010
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