Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 13225 | PR |
NPI | 1003814047 |
---|---|
Provider Name | Dr. Gilberto Rivera |
First Address | San Juan, PR 00936-8250 |
Second Address | San Juan, PR 00917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 05/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H93413 | (02) | PR |