Individual provider · NPI-1

Dr. Carlos Manuel Rivera

Family Medicine · Aguadilla, PR

NPI number1114906161
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1114906161
Entity type
Individual (NPI-1)
Name
Dr. Carlos Manuel Rivera
Sex
Male
Sole proprietor
No
Enumeration date
Jan 10, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine28314KYYes

Practice location

260 Calle Guard
Aguadilla, PR 00603-1304

Phone 787-890-8477

Mailing address

Comdt(Cg-1122) 2100 2nd St Sw
Washington, DC 20593-0002

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