Individual
ILEANA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
380 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-2113
(787) 758-3858
(787) 758-3858
Mailing address
P3 CALLE ESTRELLA DEL MAR, DORADO DEL MAR, DORADO, PR 00646-2155
(787) 796-2011
(787) 758-3858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1869
PR
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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