| Doctor Name: | VIVIAN RIVERA |
| NPI Number: | 1285682716 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 13603 |
| Business Practice Address: | Instituto San Pablo Calle Santa Cruz Suite 201 Bayamon, PR - 00960 |
| Business Phone Number: | 7877785354 |
| Business Fax Number: | 7877785302 |
| Mailing Address: | Calle 2 C-7, Alturas De Sans Souci BAYAMON |
| State: | PR |
| Postal Code: | 00957 |
| Phone Number: | 7877785353 |
| Fax Number: | 7877785302 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13603 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |