Individual
LILLIAM EDITH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
VA CARIBBEAN HEALTH CARE SYSTEM, 10 CASIA STREET, SAN JUAN, PR 00921
(787) 641-7582
Mailing address
PO BOX 6063, CAGUAS, PR 00726-6063
(787) 529-4303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
003306
PR
Other
Enumeration date
03/23/2018
Last updated
01/07/2019
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