Organization
RIVERA COLON SURGICAL SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO RIVERA COLON MD (PRESIDENT)
(787) 466-2961
Entity
Organization
Contact information
Practice address
CARR 129 KM 1.1, HOSPITAL PAVIA ARECIBO SUITE 101, ARECIBO, PR 00613
(787) 650-7272
Mailing address
PO BOX 659, HOSPITAL PAVIA ARECIBO SUITE 101, ARECIBO, PR 00613
(787) 650-7272
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18709
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HW133A
MEDICARE PTAN
PR
Enumeration date
06/05/2015
Last updated
06/22/2015
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