Individual
DR. JORGE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AVE. FONT MARTELO #3, HOSPITAL HIMA HUMACAO, HUMACAO, PR 00791
(787) 656-2424
Mailing address
TIERRA DEL SOL, EDIF. G 232, HUMACAO, PR 00791
(787) 656-2424
(787) 656-2444
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11541
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11541
LICENSE OF PR
PR
Enumeration date
12/06/2006
Last updated
07/08/2007
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