Individual
DR. MIGUEL A RIVERA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
URB. BARALT, AVE. PRINCIPAL I - 8, FAJARDO, PR 00738
(787) 863-1865
Mailing address
HC 66, BOX 10335, FAJARDO, PR 00073
(787) 863-1865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1784
PR
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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