Ricardo Alexander Rivera Ortiz, MD
General Practice in Ponce, PR. Individual provider (NPI-1).
NPI number1982134979
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982134979
- Entity type
- Individual (NPI-1)
- Name
- Ricardo Alexander Rivera Ortiz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 19643 | PR | Yes |
Practice location
3923 Calle LuceroPonce, PR 00717-1484
Phone 787-922-2500
Mailing address
3923 Calle LuceroUrb Star Light
Ponce, PR 00717-1484
Phone 787-922-2500
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