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1649044728
JOHNATTAN RIVERA VISALDEN
BAYAMON, PR
NPI
1649044728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
JOHNATTAN RIVERA VISALDEN MD
KM 11.7 PR-2
BAYAMON, PR 00959
Phone number: 787-620-8181
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Mailing Address
JOHNATTAN RIVERA VISALDEN MD
RR 5 BOX 9015
TOA ALTA, PR 00953-9242
Phone number: 787-226-0985
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