Individual
JESUS M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARRETERA 159 KM 13.1, LOCAL 5, COROZAL, PR 00783
(787) 378-0656
Mailing address
E-13 PARKSIDE 1, APT 6-C, GUAYNABO, PR 00968-3324
(787) 378-0656
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
886
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660899821
—
PR
Enumeration date
05/30/2018
Last updated
06/16/2018
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