Individual
DR. CARLOS ENRIQUE RIVERA LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
2 CALLE ACOSTA, ACOSTA #2, MANATI, PR 00674-5256
(787) 854-6393
Mailing address
P.O.BOX 1003, PATROTA POZO #2, MANATI, PR 00674
(787) 854-6393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1524
PR
Other
Enumeration date
10/03/2006
Last updated
08/31/2016
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