Rivera, Rey Jose

Rivera, Rey Jose is an sole proprietor health care provider with primary practice located at 1460 G St , Springfield OR 97477-4112. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Rivera, Rey Jose can be contacted via phone (541) 726-4400.

Contact Information

Primary practice address
1460 G St Springfield OR 97477-4112
Phone: (541) 726-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD190234 Oregon
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME118210 Florida

Profile Details

NPI number 1508098286
LBN Legal business name Rivera, Rey Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2009
Last updated Mar 7th, 2023 - about 2 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 1508098286 NPPES
Florida MEDICAID 013502400

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