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Organization
MARCELO R. RIVERA MD, INC.
Active
Organization
MARCELO R. RIVERA MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELO R RIVERA M.D. (OWNER)
(858) 613-8743
Entity
Organization
Contact information
Practice address
1516 MAIN ST, #104, RAMONA, CA 92065-5242
(760) 789-6044
(760) 789-3852
Mailing address
1516 MAIN ST, #104, RAMONA, CA 92065-5242
(760) 789-6044
(760) 789-3852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G39240
CA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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