Individual
GERARDO ENRIQUE RIVERA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
40680 CARR 478, QUEBRADILLAS, PR 00678-9303
(939) 865-0878
Mailing address
40680 CARR 478, QUEBRADILLAS, PR 00678-9303
(939) 865-0878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2167
PR
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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