Rivera, Maria T

Rivera, Maria T is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 1080 , Milwaukee WI 53215-3689. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Rivera, Maria T can be contacted via phone (414) 908-6615.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689
Phone: (414) 908-6615
Fax: (414) 385-2980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36361-020 Wisconsin

Profile Details

NPI number 1417924192
LBN Legal business name Rivera, Maria T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 25th, 2020 - about 4 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 1417924192 NPPES
Wisconsin MEDICAID 32290400

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