Individual
OTILIO JOSE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARRETERA 22, BARRIO MONACILLOS, RIO PIEDRAS, SAN JUAN, PR 00919
(787) 777-3232
Mailing address
PO BOX 2052, ARECIBO, PR 00613-2052
(787) 397-0850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15901
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/24/2020
Last updated
01/06/2022
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