Individual
CRISTOFFER ANDREE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PHSU 388 ZONA INDUSTRIAL REPARADA 2, PONCE, PR 00716
(787) 840-2575
Mailing address
PO BOX 7004, PONCE, PR 00732-7004
(787) 840-2575
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
PR
Enumeration date
08/06/2018
Last updated
08/06/2018
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