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Individual

DR. LUIS ENRIQUE RIVERA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
65 INFANTERIA 174, VIEQUES, PR 00765-1065
(787) 741-0738
(787) 741-0738
Mailing address
65 INFANTRY 174, P.O. BOX 1065, VIEQUES, PR 00765-1065
(787) 741-0738
(787) 741-0738

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
12042
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060670
CRUZ AZUL
PR
01
1-12042
MCS
PR
01
2011030
PREFERRED HEALTH
PR
01
31-12042
UIA
PR
01
3264-I
PROSSAM
PR
01
400184
MMM
PR
01
765008
HUMANA DE PR
PR
01
87944RI
TRIPLE S, INC.
PR
Enumeration date
08/23/2006
Last updated
07/09/2007
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