Doctor Name: | MR. SALOMON JOSE DAVID-RIVERA |
NPI Number: | 1790867182 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 12548 |
Business Practice Address: | St Ruiz Belvis #3 Santa Isabel, PR - 00757 |
Business Phone Number: | 7876421977 |
Business Fax Number: | 7978451840 |
Mailing Address: | St Zafino #2118 Veb Lago Horizonto, COTO LAUREL |
State: | PR |
Postal Code: | 00780 |
Phone Number: | 7876421977 |
Fax Number: | 7978451840 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |