| Doctor Name: | LUIS A PARIS RIVERA |
| NPI Number: | 1972579159 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 016071 |
| Business Practice Address: | Hf16 Calle Lizzie Graham Septima Seccion Levittown Toa Baja, PR - 009493634 |
| Business Phone Number: | 7872002830 |
| Business Fax Number: | 7877840680 |
| Mailing Address: | Building C#2, Apartment #42 San Fernando Bayamon, Pr., BAYAMON |
| State: | PR |
| Postal Code: | 00917 |
| Phone Number: | 7877864556 |
| Fax Number: | 7872821058 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 07/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 016071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |