Rivera-Godreau, Ivelisse

Rivera-Godreau, Ivelisse is an individual health care provider with primary practice located at 134 State St , Meriden CT 06450-3293. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rivera-Godreau, Ivelisse can be contacted via phone (203) 237-2229.

Contact Information

Primary practice address
134 State St Meriden CT 06450-3293
Phone: (203) 237-2229
Fax: (203) 686-1677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 047088 Connecticut

Profile Details

NPI number 1407881626
LBN Legal business name Rivera-Godreau, Ivelisse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 19th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407881626 NPPES
Other D400001144 MEDICARE

Popular Providers