Rivera, Vivian T.

Rivera, Vivian T. is an individual health care provider with primary practice located at 280 Ave Marginal Kennedy , Guaynabo PR 00968-1746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Rivera, Vivian T. can be contacted via phone (973) 202-0198.

Contact Information

Primary practice address
280 Ave Marginal Kennedy Guaynabo PR 00968-1746
Phone: (973) 202-0198
Fax: (787) 620-5761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07365200 New Jersey

Profile Details

NPI number 1437104957
LBN Legal business name Rivera, Vivian T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 6th, 2012 - about 12 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 1437104957 NPPES
New Jersey MEDICAID 8906904

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