NPI | 1427181338 |
---|---|
Former Name | CARLOS FRANCIS RIVERA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PR 141PA) |
Additional Taxonomies | 171W00000X Contractor |
Enumeration Date | 2007-03-13 |
Last Update Date | 2023-01-19 |