Rivera, Alfredo Nicodemus

Rivera, Alfredo Nicodemus is an individual health care provider with primary practice located at 4760 Red Bank Rd Ste 217, Cincinnati OH 45227-1548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Rivera, Alfredo Nicodemus can be contacted via phone (513) 297-4070.

Contact Information

Primary practice address
4760 Red Bank Rd Ste 217 Cincinnati OH 45227-1548
Phone: (513) 297-4070
Fax: (513) 297-4070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36592 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-068271 Ohio
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 36592 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 35-068271 Ohio

Profile Details

NPI number 1811081334
LBN Legal business name Rivera, Alfredo Nicodemus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811081334 NPPES
Kentucky MEDICAID 64048986
Kentucky MEDICAID 0253014
Kentucky MEDICAID 200131720
Kentucky Other 260049430

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