Organization
DENTAL WORLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA M RIVERA DMD (DENTIST)
(787) 361-0015
Entity
Organization
Contact information
Practice address
654 AVE SAN PATRICIO, SAN JUAN, PR 00920-4509
(787) 792-6266
Mailing address
AN 65 PLAZA SAN THOMAS, ANTILLANA, TRUJILLO ALTO, PR 00976
(787) 792-6266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2736
PR
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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