| Doctor Name: | DR. LORENZO RIERA MATIENZO |
| NPI Number: | 1336365246 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 013581 |
| Business Practice Address: | Local Aa-8 Loiza Valley Mall Canovanas, PR - 00729 |
| Business Phone Number: | 7877803005 |
| Business Fax Number: | 7877788034 |
| Mailing Address: | Po Box 16557, SAN JUAN |
| State: | PR |
| Postal Code: | 009086557 |
| Phone Number: | 7877803005 |
| Fax Number: | 7877788034 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 013581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |