Individual provider · NPI-1
Dr. Pedro Luis Rivera, M.D.
Pediatrics, Adolescent Medicine · San German, PR
NPI number1780712216
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1780712216
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pedro Luis Rivera
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 9810 | PR | Yes |
Practice location
Dr. Veve Street #59Second Level
San German, PR 00683
Phone 787-892-5265 · Fax 787-892-5265
Mailing address
Po Box 227San German, PR 00683-0227
Phone 787-892-5265 · Fax 787-892-5265
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