Individual
DR. JO BETHER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2638 CALLE PONTEVEDRA, URB. JARDINES FAGOT, PONCE, PR 00716-3614
(787) 843-4754
Mailing address
18544 CHERRY LAUREL LN, GAITHERSBURG, MD 20879-5345
(301) 869-3294
(240) 477-4071
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
14761
PR
251V00000X
Voluntary or Charitable Agency
14761
PR
261Q00000X
Clinic/Center
14761
PR
261QC1500X
Community Health Clinic/Center
14761
PR
261QC1800X
Corporate Health Clinic/Center
14761
PR
261QH0100X
Health Service Clinic/Center
14761
PR
261QP2300X
Primary Care Clinic/Center
Primary
14761
PR
261QX0100X
Occupational Medicine Clinic/Center
14761
PR
302R00000X
Health Maintenance Organization
14761
PR
305R00000X
Preferred Provider Organization
14761
PR
390200000X
Student in an Organized Health Care Education/Training Program
14761
PR
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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