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1073502860
JUAN RIVERA
FAJARDO, PR
NPI
1073502860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: PR 995)
Enumeration Date
2005-10-14
Last Update Date
2011-10-06
Business Address
-- JUAN RIVERA DMD
53 CALLE GARRIDO MORALES E
FAJARDO, PR 00738-4665
Phone number: 787-863-2549
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Mailing Address
-- JUAN RIVERA DMD
PO BOX 1087
FAJARDO, PR 00738-1087
Phone number: 787-863-2549
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