Individual
PEDRO ANTONIO RIVERA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
121 CALLE CRUZ ORTIZ STELLA S, HUMACAO, PR 00791-3727
(787) 450-3075
Mailing address
HC 1 BOX 4487, YABUCOA, PR 00767-9643
(787) 365-9736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91234
PR
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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