SANTOS MICHAEL RIVERA

SAN ANTONIO, TX
NPI1154335792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  PA01255)
Enumeration Date2006-07-28
Last Update Date2019-08-08
Business Address
SANTOS MICHAEL RIVERA PA-C
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Phone number: 210-614-8101
Mailing Address
SANTOS MICHAEL RIVERA PA-C
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229-3621
Phone number: 210-614-8101