Riveron, Fernando A
Riveron, Fernando A is an individual health care provider with primary practice located at 6140 W Curtisian Ave Ste 100 , Boise ID 83704-0109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Riveron, Fernando A can be contacted via phone (208) 302-0130.Contact Information
Primary practice address
6140 W Curtisian Ave Ste 100
Boise ID 83704-0109
Phone: (208) 302-0130
Fax: (208) 302-0135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD60930244 | Washington |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 37552 | Wisconsin |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MC-0427 | Idaho |
Profile Details
| NPI number | 1568493427 |
|---|---|
| LBN Legal business name | Riveron, Fernando A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568493427 | NPPES |
| Wisconsin | MEDICAID | 32205400 | |
| Wisconsin | MEDICAID | 2127756 |
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