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1154335792
SANTOS MICHAEL RIVERA
SAN ANTONIO, TX
NPI
1154335792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA01255)
Enumeration Date
2006-07-28
Last Update Date
2019-08-08
Business Address
SANTOS MICHAEL RIVERA PA-C
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Phone number: 210-614-8101
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Mailing Address
SANTOS MICHAEL RIVERA PA-C
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229-3621
Phone number: 210-614-8101
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