Organization
JGR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE G RIVERA M.D. (PRESIDENT)
(787) 462-5717
Entity
Organization
Contact information
Practice address
315 BLVD MEDIA LUNA, APT 1403, CAROLINA, PR 00987-5143
(787) 462-5717
Mailing address
315 BLVD MEDIA LUNA, APT 1403, CAROLINA, PR 00987-5143
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15958
PR
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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