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Individual

DR. MARLENE RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
AVE. ROOSEVELT 400, SUITE 307, SAN JUAN, PR 00918
(787) 777-1163
Mailing address
PO BOX 3361, SAN JUAN, PR 00936-3361
(787) 342-4464
(787) 720-4394

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2885
PR

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
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