Juan Rivera
General Practice in Bayamon, PR. Individual provider (NPI-1).
NPI number1962010546
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1962010546
- Entity type
- Individual (NPI-1)
- Name
- Juan Rivera
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2020
- Certification date
- May 14, 2024
- Last updated
- Jun 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 23811 | PR | Yes |
| 363A00000X | Physician Assistant | 538 | PR |
Practice location
C17 Calle MarginalBayamon, PR 00961-6706
Phone 787-786-4600
Mailing address
Hc 3 Box 7317Canovanas, PR 00729-9711
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