# JOHN E. RIVERA, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southington Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154387264
- **Authorized official:** DR. JOHN EDWIN RIVERA M.D. (DIRECTOR)
- **Authorized official phone:** (860) 621-5554

## Contact information

- **Practice address:** 1753 MERIDEN-WATERBURY RD, MILLDALE, CT 06467-0770
- **Practice address phone:** (860) 621-5554
- **Practice address fax:** (860) 621-3833
- **Mailing address:** 1753 MERIDEN-WATERBURY RD, MILLDALE, CT 06467-0770
- **Mailing address phone:** (860) 621-5554
- **Mailing address fax:** (860) 621-3833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 026829 | CT | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 08/22/2020