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Dr. Jose A Rivera Guzman

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jose A Rivera Guzman
Gender: M
Provider License Number If Given: 13554

NPI Information:

NPI: 1770582298
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 8/29/2013

Provider Business Mailing Address:

Address: PO BOX 11009
San Juan, PR 00910
Phone Number: 7874021764
Fax Number: 7877212204

Provider Business Practice Location Address:

Address: AVE. ASHFORD, ESQ. WASHINGTON #29 SUITE 505 ASHFORD MEDICAL CENTER
San Juan, PR 00907
Phone Number: 7877212324
Fax Number: 7877212204

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: PR