Provider Demographics
NPI:1831284751
Name:RIVERA GUEVAREZ, ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:RIVERA GUEVAREZ
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 1:5 CALLE PATRON
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-3012
Mailing Address - Country:US
Mailing Address - Phone:787-862-5628
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE PATRON
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-3012
Practice Address - Country:US
Practice Address - Phone:787-862-5628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11500208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR03765OtherAMERICAN HEALTH INC
PR201503OtherPREFERRED HEALTH
PR6870005OtherHUMANA GOBIERNO
PR8370OtherUNITED HEALTH CARE
PR201503OtherPREFERRED U.T.I.
PR3111500OtherU.I.A.
PRPG2749OtherPALIC
PR11500OtherCIGNA
PR065026OtherCRUZ AZUL
PR1924OtherPREFERRED MEDICARE CHOISE
PR84459OtherTRIPLE SSS, INC
PR6479OtherINTERNATIONAL MEDICAL CAR
PR0120588OtherACAA
PR201503OtherPREFERRED U.T.I.
PRG42898Medicare UPIN