Rivero, Gustavo Adolfo

Rivero, Gustavo Adolfo is an sole proprietor health care provider with primary practice located at 3800 Reservoir Rd Nw , Washington DC 20007-2113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Rivero, Gustavo Adolfo can be contacted via phone (202) 444-3736.

Contact Information

Primary practice address
3800 Reservoir Rd Nw Washington DC 20007-2113
Fax: (202) 444-0939
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P3066 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 93827 Florida
Allopathic & Osteopathic Physicians / Hematology 207RH0000X P3066 Texas
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD210003079 District of Columbia

Profile Details

NPI number 1790736155
LBN Legal business name Rivero, Gustavo Adolfo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jun 29th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790736155 NPPES
Florida Other 29467 BCBS
Florida MEDICAID 2741245-00 BCBS
Florida Other 100127C041273 BCBS
Florida MEDICAID 023680306 BCBS
Florida Other 2Q5020 BCBS
Florida Other P00384348 BCBS

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