| Luis Adrian Rivera Pomales, Md, Mba, Mph, Ccd, Dabbm, Csp | |
|
Calle Ashford #62 Norte Guayama PR 00784 | |
| (787) 864-6570 | |
| (787) 866-8298 |
| Full Name | Luis Adrian Rivera Pomales, Md, Mba, Mph, Ccd, Dabbm, Csp |
|---|---|
| Speciality | Internal Medicine |
| Location | Calle Ashford #62 Norte, Guayama, Puerto Rico |
| Authorized Official Name and Position | Luis Adrian Rivera-pomales (PRESIDENT/OWNER) |
| Authorized Official Contact | 7073128054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Adrian Rivera Pomales, Md, Mba, Mph, Ccd, Dabbm, Csp P.o. Box 1059 Arroyo PR 00714 Ph: (787) 864-6570 | Luis Adrian Rivera Pomales, Md, Mba, Mph, Ccd, Dabbm, Csp Calle Ashford #62 Norte Guayama PR 00784 Ph: (787) 864-6570 |
| NPI Number | 1033530829 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 12/20/2013 |
| Medicare PECOS PAC ID | 0143562009 |
|---|---|
| Medicare Enrollment ID | O20190425002198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033530829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8309 (Puerto Rico) | Primary |
| Provider Name | Luis A Rivera Pomales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649207028 PECOS PAC ID: 5799771069 Enrollment ID: I20040422000318 |
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