Individual
AIDA I RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
48 CALLE RAFAEL LASA, AGUAS BUENAS, PR 00703-3321
(787) 732-3577
(787) 732-3577
Mailing address
PO BOX 1212, AGUAS BUENAS, PR 00703-1212
(787) 732-3577
(787) 732-3577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1957
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206282
PREFFERED HEALTH
PR
01
—
400136
HUMANA
PR
01
—
41912RI
TRIPLE S
PR
01
—
7048
FIRST MEDICAL CARD SYSTEM
PR
Enumeration date
01/03/2007
Last updated
09/26/2014
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