Organization
DR. ELIONEXSIS RIVERA RODRIGUEZ, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIONEXSIS RIVERA RODRIGUEZ M.D. (PEDIATRICIAN/PRESIDENT)
(787) 280-4889
Entity
Organization
Contact information
Practice address
AVE. EMERITO ESTRADA, 1001 ALTOS, SAN SEBASTIAN, PR 00685
(787) 280-4889
(787) 280-4889
Mailing address
C14 CALLE 4, URB. VENTURINI, SAN SEBASTIAN, PR 00685-2708
(787) 280-4889
(787) 280-4889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10898
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588638456
INDIVIDUAL NPI
PR
Enumeration date
05/09/2013
Last updated
05/09/2013
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