Individual
DR. RUBEN RIVERA-CARRION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3006 AVE EMILIO FAGOT, SUITE # 2, PONCE, PR 00716-3612
(787) 841-3954
(787) 844-0820
Mailing address
3006 AVE EMILIO FAGOT, SUITE # 2, PONCE, PR 00716-3612
(787) 841-3954
(787) 844-0820
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7544
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067718
BLUE SHIELD/BLUE CROSS-PR
PR
01
—
27526
TRIPLE SSS PROVIDER NUMBE
PR
Enumeration date
07/07/2006
Last updated
07/08/2007
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