Individual
RAFAEL ANTONIO RIVERA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EDIFICIO GAUTIER BENITEZ, 2ND PISO, CALLE GAUTIER BENITEZ, CAGUAS, PR 00725
(787) 607-1927
Mailing address
CALLE 4 W 17 VILLA NUEVA, CAGUAS, PR 00727
(787) 746-5651
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4468
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25478
SSS
PR
01
—
63514
CRUZ AZUL
PR
Enumeration date
06/20/2007
Last updated
07/08/2007
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