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Individual

OSVALDO RIVERA RIVERA SR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
COND PONCIA NA 9140 CALLE MARINO, STE 203, PONCE, PR 00717
(787) 842-4937
(787) 840-1904
Mailing address
PO BOX 611, MERCEDITA, PR 00715-0611
(787) 842-4937
(787) 840-1904

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7550
PR

Other

Enumeration date
10/07/2005
Last updated
07/08/2007
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