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Individual

DR. JORGE L RIVERA MIRABAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
SAN JORGE MEDICAL OFFICE BUILDING SUITE 401, 252 SAN JORGE STREET, SAN JUAN, PR 00912-0000
(787) 726-1484
Mailing address
SAN JORGE MEDICAL OFFICE BUILDING SUITE 401, 252 SAN JORGE STREET, SAN JUAN, PR 00912-0000
(787) 726-1484

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
024645
PR
208600000X
Surgery Physician
BP10056345
TX
208800000X
Urology Physician
Primary
024645
PR
208800000X
Urology Physician
BP10056345
TX
208800000X
Urology Physician
ME153764
FL

Other

Enumeration date
09/12/2014
Last updated
10/10/2025
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