| Doctor Name: | DR. LUIS D. RIVERA RIVERA |
| NPI Number: | 1578540191 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 15534 |
| Business Practice Address: | 1153 Ave Emerito Estrada Rivera San Sebastian, PR - 00685 |
| Business Phone Number: | 7878964700 |
| Business Fax Number: | 7879260365 |
| Mailing Address: | T10 Calle 11, Urb Colinas Verdes SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 006851932 |
| Phone Number: | 7874104325 |
| Fax Number: | 7879260365 |
| NPI Enumeration Date: | 12/23/2005 |
| NPI Last Update Date: | 03/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |