Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 18790 | PR |
N | 207U00000X | Nuclear Medicine Specialist | 18790 | PR |
NPI | 1760680383 |
---|---|
Provider Name | Victor Rafael Rivero |
First Address | Arecibo, PR 00612-3562 |
Second Address | Arecibo, PR 00612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 08/10/2019 |