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Individual
FERNANDO GOMEZ-RIVERA
Active
Individual
FERNANDO GOMEZ-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101251391
VA
207Y00000X
Otolaryngology Physician
R7465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101251391
LICENSE
VA
Enumeration date
03/13/2012
Last updated
12/06/2022
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