Individual
EDSEL I RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CENTURY BUSINESS PARK, 23 CARR 848, CAROLINA, PR 00985
(939) 457-3065
Mailing address
379 CALLE ANDRADES, CATANO, PR 00962-5034
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
35690
PR
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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