Rivera Maza, Manuel G

Rivera Maza, Manuel G is an individual health care provider with primary practice located at 2525 W University Ave Ste 300 , Muncie IN 47303-3432. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Rivera Maza, Manuel G can be contacted via phone (765) 289-5420.

Contact Information

Primary practice address
2525 W University Ave Ste 300 Muncie IN 47303-3432
Phone: (765) 289-5420
Fax: (765) 281-2065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01089549A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01089549A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2019016629 Missouri
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01089549A Indiana

Profile Details

NPI number 1144601816
LBN Legal business name Rivera Maza, Manuel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2015
Last updated Aug 9th, 2023 - about last year

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 1144601816 NPPES
Indiana MEDICAID 300074529
Indiana Other M122404071

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