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NPI Code Detail

MEDICARE: MR. LUCAS JORGE RIOS-VIVAS

MEDICARE: MR. LUCAS JORGE RIOS-VIVAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist

General Provider Information

NPI Number : 1073443099
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LUCAS JORGE RIOS-VIVAS
Provider Business Mailing Address
First Line : 78 CALLE CONVENTO
Second Line : HACIENDA ISABEL
City : SANTA ISABEL
State : PR
Zip : 00757-3014
Country : US
Telephone Number : 787-641-7582
Fax Number :
Provider Business Practice Location Address
First Line : 10 CALLE CASIA
Second Line :
City : SAN JUAN
State : PR
Zip : 00921-3200
Country : US
Telephone Number : 787-641-7582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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