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Individual

VIVIAN T. RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
280 AVE MARGINAL KENNEDY, GUAYNABO, PR 00968-1746
(973) 202-0198
(787) 620-5761
Mailing address
280 AVE MARGINAL KENNEDY, GUAYNABO, PR 00968-1746
(973) 202-0198
(787) 620-5761

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07365200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8906904
NJ
Enumeration date
05/23/2006
Last updated
09/06/2012
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