Individual
ILEANA RIVERA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
GUAYNABO MEDICAL MALL, PMB 298 SUITE 67, GUAYNABO, PR 00969
(787) 273-1227
Mailing address
VILLAS DE CIUDAD JARDIN, CANOVANAS, PR 00729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15581
PR
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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