Individual
RENATO LUIS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
168 CALLE GUANAJIBO, CROWN HILLS, SAN JUAN, PR 00926-6003
(787) 763-5624
Mailing address
168 CALLE GUANAJIBO, CROWN HILLS, SAN JUAN, PR 00926-6003
(787) 763-5624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16671
PR
208D00000X
General Practice Physician
16671
PR
Other
Enumeration date
10/21/2006
Last updated
08/22/2022
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