Rivera, Mercedita Quiros

Rivera, Mercedita Quiros is an individual health care provider with primary practice located at 65 Broadway , Newark NJ 07104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rivera, Mercedita Quiros can be contacted via phone (973) 483-6110.

Contact Information

Primary practice address
65 Broadway Newark NJ 07104
Fax: (973) 483-6110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA03870900 New Jersey

Profile Details

NPI number 1801917133
LBN Legal business name Rivera, Mercedita Quiros
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1801917133 NPPES
New Jersey MEDICAID 2503905

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