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NPI Code Detail

MEDICARE: DELMARI RIVERA FERNANDEZ O.D.

MEDICARE: DELMARI RIVERA FERNANDEZ O.D.
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
1152W00000XOptometrist0123PR

General Provider Information

NPI Number : 1881655587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELMARI RIVERA FERNANDEZ O.D.
Provider Business Mailing Address
First Line : PMB 540-6017
Second Line :
City : CAROLINA
State : PR
Zip : 00984-6017
Country : US
Telephone Number : 787-762-5465
Fax Number : 787-762-5495
Provider Business Practice Location Address
First Line : AVE MONSERRATE
Second Line : VILLA FONTANA
City : CAROLINA
State : PR
Zip : 00985-5444
Country : US
Telephone Number : 787-762-5465
Fax Number : 787-762-5495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 08/31/2016

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