Provider Demographics
NPI:1437306412
Name:RIVERA-CARPIO, LUIS H (M D)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:H
Last Name:RIVERA-CARPIO
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4988
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-4988
Mailing Address - Country:US
Mailing Address - Phone:787-636-5037
Mailing Address - Fax:
Practice Address - Street 1:CARR 459 # 7 BARR. CORRALES
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-891-6300
Practice Address - Fax:787-891-6300
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26834207R00000X
PR17502207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine