Provider Demographics
NPI:1578667036
Name:RIVERA, HERBERT ALEXIS (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:ALEXIS
Last Name:RIVERA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:VILLAS DEL PILAR CALLE 2
Mailing Address - Street 2:D-1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-645-4705
Mailing Address - Fax:787-787-4001
Practice Address - Street 1:AVE. MAIN BLQ. 31 URB. SANTA ROSA
Practice Address - Street 2:# 60
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-780-0806
Practice Address - Fax:787-787-4001
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2013-08-13
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Provider Licenses
StateLicense IDTaxonomies
PR12493207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease