Individual
MR. JOHAN OMAR RIVERA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
PO BOX 418, SANTA ISABEL, PR 00757-0418
(787) 974-5169
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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