Individual
MARIELA MELISSA RIVERA AGOSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
VA CARIBBEAN HEALTHCARE SYSTEM, 10 CASIA ST SURGICAL SERVICE CRITICAL CARE UNIT, SAN JUAN, PR 00921-3201
(787) 641-2975
Mailing address
PO BOX 515, NARANJITO, PR 00719-0515
(787) 869-5900
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
19843
PR
207RP1001X
Pulmonary Disease Physician
Primary
19843
PR
2086S0102X
Surgical Critical Care Physician
19843
PR
Other
Enumeration date
01/10/2014
Last updated
04/30/2024
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