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Individual
DR. WANDA RIVERA
Active
Individual
DR. WANDA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0062879
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172181
AETNA CAPITATED
MD
01
—
2146200
MAMSI SPECIALIST
MD
01
—
2610730
UHC PROVIDER NUMBER
MD
05
—
409667300
—
MD
01
—
651290-01
CAREFIRST MD RENDERING
MD
01
—
7312772
AETNA FEE FOR SERVICE
MD
01
—
7605-0080
CAREFIRST BLUECHOICE
MD
01
—
8146200
MAMSI PRIMARY CARE
MD
01
—
P17025
CAREFIRST MPOS
MD
Enumeration date
01/04/2006
Last updated
06/05/2018
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