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DR. AJNEB RIVALTA MD

Allergy and Immunology

Trujillo Alto, Puerto Rico

Provider NPI: 1508854845

Provider Information:
DR. AJNEB  RIVALTA MD


Practice Location:
CAMINO EDUVIGES RIVERA CARR ESTATAL 175 KM 9.2 TRUJILLO ALTO, PR 00977 US
Tel: 787-755-6642  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
PR15638

Other Provider Identifiers:

IssuerNumberStateType
LIC15638PR01
DEABR9026623PR01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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