Individual
MR. MANUEL Z RIVERA
Active
Individual
MR. MANUEL Z RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6367
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6120060
HUMANA
PR
01
—
8495
INTERNATIONAL MED CARD
PR
Enumeration date
12/08/2005
Last updated
09/08/2010
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