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Individual

DR. JUAN RAFAEL RIVERA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6 CALLE FLOR GERENA NORTE, HUMACAO, PR 00791
(787) 852-4685
Mailing address
PO BOX 1087, FAJARDO, PR 00738-1087
(787) 852-4685

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3307
PR

Other

Enumeration date
12/31/2018
Last updated
12/31/2018
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