Individual
CARLOS E RIVADENEIRA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
URB LIRIOS CALA II, X404 CALLE SAN MARTIN, JUNCOS, PR 00677
(939) 642-6689
(787) 799-6308
Mailing address
PO BOX 345, BAYAMON, PR 00960-0345
(939) 642-6689
(787) 799-6308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001375
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001375
PHYSICAL THERAPIST ASIST.
PR
Enumeration date
12/28/2007
Last updated
12/28/2007
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