Individual
JOHANNA RIVERA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 AVE LOS VETERANOS, GALERIAS PLAZA GUAYAMA SUITE, GUAYAMA, PR 00784
(787) 864-8649
(787) 864-8649
Mailing address
GALERIAS PLAZA GUAYAMA SUITE #7, LOS VETERANOS AVENUE, GUAYAMA, PR 00784
(787) 864-8649
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2907
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2011
Last updated
07/21/2022
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