Individual
MARIO ENRIQUE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL STUDENT
Contact information
Practice address
576 AVE. ARTERIAL B COLISEUM TOWER APT. 1805, SAN JUAN, PR 00918
(787) 901-6584
Mailing address
576 AVE. ARTERIAL B COLISEUM TOWER APT. 1805, SAN JUAN, PR 00918
(787) 901-6584
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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