Individual
MOISES RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8185 CONCORDIA ST, PONCE, PR 00717-1571
(787) 848-0346
(787) 848-0346
Mailing address
PO BOX 8087, PONCE, PR 00732-8087
(787) 848-0346
(787) 848-0346
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
931
PR
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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