Individual
DR. GERARDO RIVERA-PABON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE UNION, NUM 109, PONCE, PR 00731
(787) 840-4898
(787) 840-4898
Mailing address
MANSIONES DEL SUR, 46 CALLE VIGIA, COTO LAUREL, PR 00780-2084
(787) 840-4898
(787) 840-4898
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12003
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12003
LICENSE
PR
Enumeration date
08/19/2006
Last updated
09/24/2012
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