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Individual

EDGAR RIVERA MUNOZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
D48 CALLE 2, BONNEVILLE HEIGHTS LL, CAGUAS, PR 00727-2308
(787) 313-8849
Mailing address
D48 CALLE 2, BONNEVILLE HEIGHTS LL, CAGUAS, PR 00727-2308
(787) 313-8849

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
019035
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4468110
DRIVER LICENSE
PR
Enumeration date
04/24/2015
Last updated
04/24/2015
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