Provider Demographics
NPI:1134910482
Name:RIVERA, HECTOR J (MD)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:J
Last Name:RIVERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6596 SWISSCO DR APT 1531
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-3293
Mailing Address - Country:US
Mailing Address - Phone:407-865-0085
Mailing Address - Fax:407-865-0085
Practice Address - Street 1:AUXILIO MUTUO HOSPITAL
Practice Address - Street 2:715 AVE PONCE DE LEON
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program