| Doctor Name: | DR. MANUEL H. RIVERA |
| NPI Number: | 1386616258 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 15792 |
| Business Practice Address: | Carr #1 Km 26.9 Bo. Rio Canas Sect. La Changa Caguas, PR - 00725 |
| Business Phone Number: | 7875055749 |
| Business Fax Number: | 7876536700 |
| Mailing Address: | C/ Haiti D-16 Sunny Hills, BAYAMON |
| State: | PR |
| Postal Code: | 00956 |
| Phone Number: | 7877808514 |
| Fax Number: | 7872701330 |
| NPI Enumeration Date: | 02/06/2006 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15792 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |