Individual
MISS MIRIAM RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.O.T.A.
Contact information
Practice address
1106 TENIENTE CESAR GONZALEZ, VILLA NEVAREZ, RIO PIEDRAS, PR 00928
(787) 758-8019
(787) 764-3657
Mailing address
PO BOX 66, YABUCOA, PR 00767-0066
(787) 733-4027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
768
PR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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