Individual
LUIS N RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 775 KM 1.0 INT, COMERIO, PR 00782-9715
(787) 391-5153
Mailing address
HC 4 BOX 18007, COMERIO, PR 00782-9715
(787) 391-5153
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1023
PR
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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