Rivera, Kenneth
Rivera, Kenneth is an individual health care provider with primary practice located at 9163 Calle Marina Estancias De Aragon Apt 403B, Ponce PR 00717-2006. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rivera, Kenneth can be contacted via phone (787) 284-0737.Contact Information
Primary practice address
9163 Calle Marina Estancias De Aragon Apt 403B
Ponce PR 00717-2006
Phone: (787) 284-0737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12788 | Puerto Rico |
Profile Details
| NPI number | 1316908007 |
|---|---|
| LBN Legal business name | Rivera, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Sep 4th, 2008 - about 16 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 | 1316908007 | NPPES |
| Puerto Rico | Other | 12788 | MEDICAL LICENSE |
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