# MR. NELSON RIVERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609036292
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 446 | PR | — |
| 152W00000X | Optometrist | 6002T | TX | Yes |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 06/17/2008