Individual
JANIVETTE RIVERA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
809 CARR 153 STE 13, PLAZA SANTA ISABEL, SANTA ISABEL, PR 00757-4009
(787) 845-4044
(787) 845-4044
Mailing address
PO BOX 2329, COAMO, PR 00769-4329
(787) 385-7019
(787) 845-4044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13859
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21476
MEDICARE
PR
Enumeration date
07/19/2005
Last updated
08/30/2024
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