Rivera, Luzviminda C
Rivera, Luzviminda C is an sole proprietor health care provider with primary practice located at 26190 Outer Dr , Lincoln Park MI 48146-2084. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rivera, Luzviminda C can be contacted via phone (313) 386-8330.Contact Information
Primary practice address
26190 Outer Dr
Lincoln Park MI 48146-2084
Phone: (313) 386-8330
Fax: (313) 388-5667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 033619 | Michigan |
Profile Details
| NPI number | 1851397418 |
|---|---|
| LBN Legal business name | Rivera, Luzviminda C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Dec 1st, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851397418 | NPPES |
| Michigan | MEDICAID | 2604745 TYPE 10 |
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