Rivera, Ernesto Serrano

Rivera, Ernesto Serrano is an individual health care provider with primary practice located at 1600 Eureka Rd , Roseville CA 95661-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Rivera, Ernesto Serrano can be contacted via phone (916) 784-4000.

Contact Information

Primary practice address
1600 Eureka Rd Roseville CA 95661-3027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036-107892 Illinois
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X C52608 California

Profile Details

NPI number 1689695447
LBN Legal business name Rivera, Ernesto Serrano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 9th, 2021 - about 3 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 1689695447 NPPES
Illinois MEDICAID 0361078921

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