MEDICARE: DR. HIRAM RIVERA MONTES MD

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
1	207RR0500X	Rheumatology Physician	12012	PR

General Provider Information

NPI Number	:	1316966005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIRAM RIVERA MONTES MD

Provider Business Mailing Address
First Line	:	URB. JACAGUAX NUM 82 CALLE 4
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795-1513
Country	:	US
Telephone Number	:	787-855-9281
Fax Number	:	787-807-6439

Provider Business Practice Location Address
First Line	:	HOSPITAL WILMA N VAZQUEZ
Second Line	:	CARR 2 KM 39.5 SUITE 105
City	:	VEGA BAJA
State	:	PR
Zip	:	00693-4140
Country	:	US
Telephone Number	:	787-855-9281
Fax Number	:	787-807-6439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	10/14/2016

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