Rivera, Juan Carlos Carlos

Rivera, Juan Carlos Carlos is an sole proprietor health care provider with primary practice located at 5419 South Mccoll Road , Edinburg TX 78539-9183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Rivera, Juan Carlos Carlos can be contacted via phone (956) 630-0090.

Contact Information

Primary practice address
5419 South Mccoll Road Edinburg TX 78539-9183
Phone: (956) 630-0090
Fax: (956) 630-0099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M4476 Texas

Profile Details

NPI number 1528137692
LBN Legal business name Rivera, Juan Carlos Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Dec 14th, 2010 - about 15 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 1528137692 NPPES
Texas Other M4476 LICENSE
Texas MEDICAID 190564801 LICENSE

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