Organization
AREVIR DENTAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSON XAVIER RIVERA D.M.D. (CEO)
(787) 209-7898
Entity
Organization
Contact information
Practice address
ATRIUM OFFICE CENTER 530 DE LA CONCECION AVE, SUITE 316, SAN JUAN, PR 00901
(787) 209-7898
Mailing address
COND PARQUE DE LOYOLA TORRE NORTE, APT 1905, SAN JUAN, PR 00918
(787) 209-7898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2891
PR
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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