Provider Demographics
NPI:1437119518
Name:RIERA - MARCH, ANTONIO (MD)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:RIERA - MARCH
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:PO BOX 70344
Mailing Address - Street 2:PMB# 122
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8344
Mailing Address - Country:US
Mailing Address - Phone:787-765-0240
Mailing Address - Fax:
Practice Address - Street 1:UNIV. OF PUERTO RICO, MEDICAL SCIENCES CAMPUS
Practice Address - Street 2:MAIN BUILDING, 9 FLOOR, A-972, OTOLARYNGOLOGY-HNS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-765-0240
Practice Address - Fax:787-296-1641
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9422207Y00000X, 207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR89362-OTOtherTRIPLE-S, INC.
PR28001Medicare UPIN
PR28001-KMedicare PIN