IndividualActive
Carlos Rivera, PHYSICIAN ASSISTANT
NPI 1699516062 · Physician Assistant · Mayaguez, PR
Provider details
- NPI number
- 1699516062
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 826-P.A (PR)
Practice location
75 Calle Simon Bolivar
Mayaguez, PR 00680-4506
Phone: (939) 228-4771
Mailing address
747 Island St
Davenport, FL 33897-5836
Registry dates
- Enumerated
- 2024-06-01
- Last updated
- 2024-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.