Rivera, Victor Juan

Rivera, Victor Juan is an sole proprietor health care provider with primary practice located at 672 Sw Prima Vista Blvd Ste 102 , Port St Lucie FL 34983-1820. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rivera, Victor Juan can be contacted via phone (772) 905-2560.

Contact Information

Primary practice address
672 Sw Prima Vista Blvd Ste 102 Port St Lucie FL 34983-1820
Phone: (772) 905-2560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19320 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN1144 Florida

Profile Details

NPI number 1396199303
LBN Legal business name Rivera, Victor Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2016
Last updated Mar 21st, 2022 - about 2 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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