Provider Demographics
NPI:1730203738
Name:RIVERA RIVERA, FRANCISCO JAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:RIVERA RIVERA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:237 CALLE LLORENS TORRES
Mailing Address - Street 2:URBANIZACION ENSANCHES RAMIREZ
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-5855
Mailing Address - Country:US
Mailing Address - Phone:787-237-1306
Mailing Address - Fax:787-652-3232
Practice Address - Street 1:237 CALLE LLORENS TORRES
Practice Address - Street 2:URBANIZACION ENSANCHES RAMIREZ
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-5855
Practice Address - Country:US
Practice Address - Phone:787-831-1785
Practice Address - Fax:787-831-1785
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12512207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH27377Medicare UPIN
PR0020420Medicare ID - Type Unspecified