Doctor Name: | DR. EDWIN ARIEL RIVERA |
NPI Number: | 1669411211 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 13980 |
Business Practice Address: | J19 Calle Isla Verde Urb. Eduardo J. Saldana Carolina, PR - 009831824 |
Business Phone Number: | 7876407671 |
Business Fax Number: | |
Mailing Address: | J19 Calle Isla Verde, Urb. Eduardo J. Saldana CAROLINA |
State: | PR |
Postal Code: | 009831824 |
Phone Number: | 7876407671 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |