Individual
HIRAM RIVERA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
222B CALLE 4, GUAYAMA, PR 00784-5939
(787) 866-4005
Mailing address
PO BOX 1784, GUAYAMA, PR 00785-1784
(787) 362-7714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1434
PR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/14/2022
Last updated
10/07/2022
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