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
Phone: (973) 483-6110
Fax: (973) 483-6110
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801917133 | NPPES |
| New Jersey | MEDICAID | 2503905 |
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