JOHAN OMAR RIVERA SANTIAGO

SAN JUAN, PR
NPI1740072214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-05-20
Last Update Date2025-05-20
Business Address
Mr. JOHAN OMAR RIVERA SANTIAGO
10 CALLE CASIA
SAN JUAN, PR 00921-3200
Phone number: 787-641-7582
Mailing Address
Mr. JOHAN OMAR RIVERA SANTIAGO
PO BOX 418
SANTA ISABEL, PR 00757-0418
Phone number: 787-974-5169