| Riva Internal Medicine Integrated Services Psc | |
|
70 Calle Santa Cruz Urb. Sta. Cruz Bayamon PR 00961-7052 | |
| (787) 620-4747 | |
| Not Available |
| Full Name | Riva Internal Medicine Integrated Services Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 Calle Santa Cruz, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Jose A. Rivera (MEDICAL DOCTOR) |
| Authorized Official Contact | 7874206331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riva Internal Medicine Integrated Services Psc Po Box 194535 San Juan PR 00919-4535 Ph: () - | Riva Internal Medicine Integrated Services Psc 70 Calle Santa Cruz Urb. Sta. Cruz Bayamon PR 00961-7052 Ph: (787) 620-4747 |
| NPI Number | 1124265319 |
|---|---|
| Provider Enumeration Date | 01/10/2009 |
| Last Update Date | 08/21/2015 |
| Medicare PECOS PAC ID | 2466769344 |
|---|---|
| Medicare Enrollment ID | O20150910001345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124265319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14709 (Puerto Rico) | Primary |
| Provider Name | Jose A Rivera Valles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861573677 PECOS PAC ID: 6800968710 Enrollment ID: I20080710000195 |
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