Juan Rivera
Oral and Maxillofacial Surgeon
53 Calle Garrido Morales E
Fajardo
, Puerto Rico 00738-4665
Juan Rivera
Oral and Maxillofacial Surgeon
53 Calle Garrido Morales E
Fajardo
, Puerto Rico 00738-4665
(787) 852-4685
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Juan Rivera
- Po Box 1087
- Fajardo, PR
- Zip : 00738-1087
- Fax : (787) 852-4685
- Phone : (787) 863-2549
Second Address
- Juan Rivera
- 53 Calle Garrido Morales E
- Fajardo, PR
- Zip : 00738-4665
- Fax : (787) 852-4685
- Phone : (787) 863-2549
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 995 | PR |
National Provider Identifier
| NPI | 1073502860 |
|---|---|
| Provider Name | Juan Rivera |
| First Address | Fajardo, PR 00738-1087 |
| Second Address | Fajardo, PR 00738-4665 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2005 |
| Last Update Date | 06/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.