Provider Demographics
NPI:1235382821
Name:RIVERA, GERARDO FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:FRANCISCO
Last Name:RIVERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 PLANTATION VLG
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-1951
Mailing Address - Country:US
Mailing Address - Phone:787-918-7575
Mailing Address - Fax:
Practice Address - Street 1:1206 PLANTATION VLG
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-1951
Practice Address - Country:US
Practice Address - Phone:504-912-2489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRDM 14474-5208D00000X
PR14499208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice