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Giovanni Rivera, OPT

Technician/Technologist, Optician in San Juan, PR. Individual provider (NPI-1).

NPI number1104501337
StatusActive
Last updated in NPPESJun 20, 2023

Details

NPI
1104501337
Entity type
Individual (NPI-1)
Name
Giovanni Rivera
Credential
OPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2023
Certification date
Jun 20, 2023
Last updated
Jun 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician1298PRYes

Practice location

2020 Ave Borinquen
San Juan, PR 00915-3822

Phone 787-268-4171

Mailing address

Urb. Lomas De Country Club
U-47 Calle 17
Ponce, PR 00730

Phone 787-298-0316

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