Rivera, Richard
Rivera, Richard is an individual health care provider with primary practice located at 1080 Chinook Ln , Pueblo CO 81001-1850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rivera, Richard can be contacted via phone (719) 564-9400.Contact Information
Primary practice address
1080 Chinook Ln
Pueblo CO 81001-1850
Phone: (719) 564-9400
Fax: (719) 564-0497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19885 | Colorado |
Profile Details
| NPI number | 1710952577 |
|---|---|
| LBN Legal business name | Rivera, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Apr 24th, 2017 - about 7 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 | 1710952577 | NPPES |
| Colorado | MEDICAID | 01198852 |
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