Individual provider · Type 1 NPI
Luis O. Custodio Rivera
Student in an Organized Health Care Education/Training Program · Ponce, PR
NPI number
1619862216
Active
Practice location
Valle Verde Calle Arboleda 910
Ponce, PR 00716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1619862216
Luis O. Custodio Rivera's National Provider Identifier is 1619862216, issued on Jun 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ponce, PR. The record was last updated on Jun 12, 2025.