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Individual
MARIA MAGDALENA RIVERA
Active
Individual
MARIA MAGDALENA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0635
NH
363A00000X
Physician Assistant
1408
MA
363A00000X
Physician Assistant
PA9102768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214759
AMERIGROUP
FL
05
—
292232100
—
FL
05
—
30336586
—
NH
01
—
P00774148
RAILROAD MEDICARE
NH
Enumeration date
04/19/2006
Last updated
01/20/2010
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