Individual
DR. KELVIN XAVIER RIVERA MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SAN JUAN CITY HOSPITAL, PMB # 79, SAN JAUN, PR 00936
(787) 480-2700
Mailing address
MADRIGAL 194, URB. LA SERRANIA, CAGUAS, PR 00725
(787) 360-3945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19015
PR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
19015
PR
207RP1001X
Pulmonary Disease Physician
19015
PR
Other
Enumeration date
09/06/2012
Last updated
11/07/2024
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