| NPI | 1255837258 |
|---|---|
| Other Name | CARLOS RIVERA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-00689) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2021-05-26 |