Rivera, Sean
Rivera, Sean is an individual health care provider with primary practice located at 5757 Harper Dr Ne , Albuquerque NM 87109-3566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rivera, Sean can be contacted via phone (505) 888-5757.Contact Information
Primary practice address
5757 Harper Dr Ne
Albuquerque NM 87109-3566
Phone: (505) 888-5757
Fax: (505) 875-0160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD2016-0247 | New Mexico |
Profile Details
| NPI number | 1598031148 |
|---|---|
| LBN Legal business name | Rivera, Sean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2012 |
| Last updated | Apr 19th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598031148 | NPPES |
| New Mexico | Other | 2T1762 | MEDICARE PTAN |
| New Mexico | MEDICAID | 27772519 | MEDICARE PTAN |
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