Individual
SEVERO RIVERA-ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
I13 CALLE GUANINA, URB. VILLA BORINQUEN, CAGUAS, PR 00725-8007
(787) 258-4279
Mailing address
URB.VILLA BORINQUEN,, I 13 GUANINA ST, CAGUAS, PR 00725
(787) 258-4279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
362
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362
PR LICENCE
PR
Enumeration date
06/23/2006
Last updated
07/08/2007
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