Healthcare Provider Details

I. General information

NPI: 1437119518
Provider Name (Legal Business Name): ANTONIO RIERA - MARCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIV. OF PUERTO RICO, MEDICAL SCIENCES CAMPUS MAIN BUILDING, 9 FLOOR, A-972, OTOLARYNGOLOGY-HNS
SAN JUAN PR
00936-5067
US

IV. Provider business mailing address

PO BOX 70344 PMB# 122
SAN JUAN PR
00936-8344
US

V. Phone/Fax

Practice location:
  • Phone: 787-765-0240
  • Fax: 787-296-1641
Mailing address:
  • Phone: 787-765-0240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number9422
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number9422
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: