Organization
EGO TELEHEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS JOEL RIVERA M.D. (PRESIDENT)
(787) 462-3218
Entity
Organization
Contact information
Practice address
4008 AVE. SUR APT. 4401, CAROLINA, PR 00987
(787) 462-3218
Mailing address
4008 AVE. SUR APT. 4401, CAROLINA, PR 00987
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18235
PR
2084P0804X
Child & Adolescent Psychiatry Physician
18235
PR
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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