Individual
MR. BALTAZAR RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
CALLE TENIENTE CESAR GONZALES, SAN JUAN, PR 00971-0000
(787) 758-8019
Mailing address
HC 1 BOX 5230, BARRANQUITAS, PR 00794-9683
(787) 857-7434
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
018806
PR
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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