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Individual

DR. MARIO E RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
HC 72 BOX 3512, NARANJITO, PR 00719-9716
(787) 869-0057
Mailing address
524 CAMINO ESTRELLA, VEGA BAJA, PR 00693-4181
(787) 858-4146

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2067
PR

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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