Individual
DR. CARLOS M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
75 CALLE SIMON BOLIVAR, MAYAGUEZ, PR 00680-4506
(939) 228-4771
Mailing address
747 ISLAND ST, DAVENPORT, FL 33897-5836
(939) 228-4771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
826-P.A
PR
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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