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ADRIAN NELSON VICENTY RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MT

Contact information

Practice address
CALLE 12 NUM. 38 COMUNIDAD ELIZABETH, BO PUERTO REAL, CABO ROJO, PR 00623
(787) 851-4501
Mailing address
PO BOX 799, HORMIGUEROS, PR 00660
(787) 851-4501

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
5176
PR

Other

Enumeration date
01/14/2009
Last updated
01/14/2009
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