Provider Demographics
NPI:1104669506
Name:RIVERA CARRERO, WILLIAM JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOEL
Last Name:RIVERA CARRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309 KELSALL DR # 32823
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6322
Mailing Address - Country:US
Mailing Address - Phone:407-404-1292
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL BUEN SAMARITANO CARR. EST. PR-460, KM. 0.2
Practice Address - Street 2:BO. CAIMITAL BAJO AGUADILLA PUERTO RICO, 00603
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-658-0000
Practice Address - Fax:787-819-0805
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program