Individual
DR. AJNEB RIVALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CAROLINA SHOPPING COURT, SUITE 201 A, CAROLINA, PR 00985
(787) 767-8758
(844) 759-2966
Mailing address
CAMINO EDUVIGES RIVERA, CARR ESTATAL 175 KM 9.2, TRUJILLO ALTO, PR 00977
(787) 755-6642
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15638
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15638
LIC
PR
05
—
38288700
—
PR
Enumeration date
10/11/2005
Last updated
11/13/2023
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