Provider Demographics
NPI:1992712376
Name:RIVERA MALDONADO, HECTOR J (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:J
Last Name:RIVERA MALDONADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0080
Mailing Address - Country:US
Mailing Address - Phone:787-854-3700
Mailing Address - Fax:
Practice Address - Street 1:CALLE HERNANDEZ CARRION
Practice Address - Street 2:HOSPITAL MANATI MEDICAL CENTER
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11942207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660628329OtherMEDICARE OPTIMO
PR89056OtherTRIPLE SSS INC
PR660628329OtherCHAMPVA
PR660628329OtherMAPFRE LIFE INSURANCE
PR660628329OtherFIRST PLUS
PR100080OtherCRUZ AZUL
PR660628329OtherBLUE CROSS & BLUESHIELD
PR660628329OtherMCS CLASSIC CARE
PR8370OtherACAA
PR3626-5/5007OtherASOCIACION MAESTROS
PR66-0628329OtherCHAMPUS
PR660628329OtherASISTENCIA MEDICA
PRAETNAOther660628329
PR660628329OtherCANADA LIFE
PR660628329OtherCIGNA
PR660628329OtherCOSVI
PR660628329OtherMEDICAL CARD SYSTEM
PRP274OtherINTERNATIONAL MEDICAL CAR
PR660628329OtherCIGNA
PR660628329OtherMAPFRE LIFE INSURANCE