Individual
CAROLYN AGOSTO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CARR 696, DORADO, PR 00646-5718
(787) 625-5050
Mailing address
PO BOX 3248, VEGA ALTA, PR 00692-3248
(939) 284-3721
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17377-I
PR
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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