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Organization
LUIS M RIVERA MD INC
Active
Organization
LUIS M RIVERA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS M RIVERA MD (PRESIDENT)
(858) 495-0971
Entity
Organization
Contact information
Practice address
9555 CHESAPEAKE DR STE 202, SAN DIEGO, CA 92123-6394
(858) 495-0971
(858) 495-0991
Mailing address
9555 CHESAPEAKE DR STE 202, SAN DIEGO, CA 92123-6394
(858) 495-0971
(858) 495-0991
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A69601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255375341
NPI
CA
Enumeration date
11/09/2007
Last updated
11/09/2007
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