Organization
PRIMARY AND PREVENTIVE MEDICINE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR MANUEL RIVERA MD (MEDICAL DIRECTOR)
(939) 644-7043
Entity
Organization
Contact information
Practice address
CARRETERA #2, KM 67.7, ZONA INDUSTRIAL, BO. SANTANA, ARECIBO, PR 00612
(939) 644-7043
(800) 783-9548
Mailing address
PO BOX 2277, VEGA BAJA, PR 00694-2277
(939) 644-7043
(800) 783-9548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1429
PR
208D00000X
General Practice Physician
Primary
17467
PR
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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