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Individual

JOHNATTAN RIVERA VISALDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
KM 11.7 PR-2, BAYAMON, PR 00959
(787) 620-8181
Mailing address
RR 5 BOX 9015, TOA ALTA, PR 00953-9242
(787) 226-0985

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24518
PR

Other

Enumeration date
11/09/2023
Last updated
09/29/2025
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