Doctor Name: | HEC M RIVERA |
NPI Number: | 1174564405 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16122 |
Business Practice Address: | Ave. Las Cumbres O-26 Esq. Sans Sousi Bayamon, PR - 009614310 |
Business Phone Number: | 7874668515 |
Business Fax Number: | |
Mailing Address: | 72-26 Calle 45 Sierra Bayamon, BAYAMON |
State: | PR |
Postal Code: | 009614310 |
Phone Number: | 7877860081 |
Fax Number: | 7872519266 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |