Rivera, Jesus M
Rivera, Jesus M is an sole proprietor health care provider with primary practice located at Carretera 159 Km 13.1 Local 5, Corozal PR 00783. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Rivera, Jesus M can be contacted via phone (787) 378-0656.Contact Information
Primary practice address
Carretera 159 Km 13.1 Local 5
Corozal PR 00783
Phone: (787) 378-0656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 886 | Puerto Rico |
Profile Details
| NPI number | 1992297675 |
|---|---|
| LBN Legal business name | Rivera, Jesus M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2018 |
| Last updated | Jun 16th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992297675 | NPPES |
| Puerto Rico | MEDICAID | 660899821 |
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