Provider Demographics
NPI:1952046641
Name:DR. JOSE L PUIG RIVERA
Entity Type:Organization
Organization Name:DR. JOSE L PUIG RIVERA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PUIG RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-399-9536
Mailing Address - Street 1:200 CARR 2 STE 203
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-4661
Mailing Address - Country:US
Mailing Address - Phone:787-399-9536
Mailing Address - Fax:787-884-0086
Practice Address - Street 1:200 CARR 2 STE 203
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4661
Practice Address - Country:US
Practice Address - Phone:787-399-9536
Practice Address - Fax:787-884-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty