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Individual

ANTONIO RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SOCIAL WORKER

Contact information

Practice address
FEDERICO MONTILLA 1500, COND TORRES DEL PARQUE 401 N, BAYAMON, PR 00956
(787) 219-3288
Mailing address
PO BOX 21414, SAN JUAN, PR 00928-1414
(787) 219-3288

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16641
PR

Other

Enumeration date
03/12/2009
Last updated
03/12/2009
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