| NPI | 1790124972 |
|---|---|
| Other Name | JOSE RIVERA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME117700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME117700) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-03-24 |