Doctor Name: | DR. JOSE G RIVERA GUILBE |
NPI Number: | 1255307070 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 11465 |
Business Practice Address: | 5 Calle Carrion Maduro Coamo, PR - 007692440 |
Business Phone Number: | 7878034659 |
Business Fax Number: | 7878252296 |
Mailing Address: | Po Box 440, #5 Carion Maduro COAMO |
State: | PR |
Postal Code: | 007690440 |
Phone Number: | 7878252296 |
Fax Number: | 7878034659 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 10/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |