Provider Demographics
NPI:1275592388
Name:RIVERA USERA, ORLANDO E (MD)
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:E
Last Name:RIVERA USERA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:HACIENDA SAN JOSE
Mailing Address - Street 2:1001 CALLE ALMACIGOS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3120
Mailing Address - Country:US
Mailing Address - Phone:787-747-6300
Mailing Address - Fax:787-961-5501
Practice Address - Street 1:SUTE 7 CENTRO COMERCIAL VALLE TOLIMA
Practice Address - Street 2:285 AVE REGIMIENTO DE INFANTERIA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-747-6300
Practice Address - Fax:787-961-5501
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2015-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR15449208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDE607AMedicare PIN
PRI20623Medicare UPIN