Individual
JAVIER ANTONIO RIVERA QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
456 CALLE TNTE CESAR GONZALEZ, SAN JUAN, PR 00918-2628
(787) 753-2376
(787) 767-8392
Mailing address
323 CAMINO DEL GUAMA, SABANERA DORADO, DORADO, PR 00646
(787) 626-6581
(787) 626-6581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3361
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2019
Last updated
10/21/2021
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