De Jesus Rivera, Carmen C

De Jesus Rivera, Carmen C is an individual health care provider with primary practice located at 765 Ave San Patricio Urb. Las Lomas, San Juan PR 00921-1302. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. De Jesus Rivera, Carmen C can be contacted via phone (787) 782-3870.

Contact Information

Primary practice address
765 Ave San Patricio Urb. Las Lomas San Juan PR 00921-1302
Phone: (787) 782-3870
Fax: (787) 708-1354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 6955 Puerto Rico

Profile Details

NPI number 1023021581
LBN Legal business name De Jesus Rivera, Carmen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023021581 NPPES
Puerto Rico Other 6955 STATE LICENCE NUMBER
Puerto Rico Other 6163DM0 STATE LICENCE NUMBER

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