Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 9549 | PR |
N | 111NI0900X | Internist | 9549 | PR |
Y | 207U00000X | Nuclear Medicine Specialist | 9549 | PR |
NPI | 1457470213 |
---|---|
Provider Name | Hiram Rivera Luna |
First Address | Caguas, PR 00726-6960 |
Second Address | Caguas, PR 00725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 20/08/2010 |