| Doctor Name: | DR. JUAN OSCAR RIVERA |
| NPI Number: | 1184859001 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17554 |
| Business Practice Address: | 76 Calle Tenerife Urb. Sultana Mayaguez, PR - 006801462 |
| Business Phone Number: | 7874222059 |
| Business Fax Number: | 7878565326 |
| Mailing Address: | 76 Calle Tenerife, Urb. Sultana MAYAGUEZ |
| State: | PR |
| Postal Code: | 006801462 |
| Phone Number: | 7874222059 |
| Fax Number: | 7878565326 |
| NPI Enumeration Date: | 05/20/2009 |
| NPI Last Update Date: | 05/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |