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Individual

DR. JAMINETT RIVERA VIDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
URBANIZACION BELLA VISTA, CALLE C #11, PONCE, PR 00716
(787) 842-1245
Mailing address
URB. VISTA POINT, 3441 PASEO VERSATIL, PONCE, PR 00716
(787) 842-1245

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15119
PR

Other

Enumeration date
12/19/2006
Last updated
10/12/2012
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