Individual
DR. ILDEFONSO RIVERA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
URB SANTA CRUZ #68, SUITE 506 TORRE SAN PABLO, BAYAMON, PR 00959
(787) 786-4913
(787) 269-5575
Mailing address
PO BOX 3018, BAYAMON, PR 00960-3018
(787) 787-0210
(787) 269-5575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6051
PR
207RC0000X
Cardiovascular Disease Physician
Primary
6051
PR
Other
Enumeration date
12/02/2005
Last updated
08/31/2019
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