Provider Demographics
NPI:1679672356
Name:RIVERA, RAUL F (MD)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:F
Last Name:RIVERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 143572
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3572
Mailing Address - Country:US
Mailing Address - Phone:787-817-1818
Mailing Address - Fax:787-817-1835
Practice Address - Street 1:#57 BARBOSA ST.
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-817-1818
Practice Address - Fax:787-817-1835
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12009207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR060551OtherLA CRUZ AZUL
PR100163OtherMEDICARE MUCHO MAS( MMM)
PR1513OtherINTERNATIONAL MEDICAL CAR
PR0088462Medicaid
PR1583OtherPREFERRED MEDICARE CHOICE
PR88462OtherTRIPLE-S INC.
PR528210744OtherCOSVI
PR6140007OtherHUMANA P.R.
PR1513OtherINTERNATIONAL MEDICAL CAR
PR1513OtherINTERNATIONAL MEDICAL CAR