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Individual
MARVIN RIVERA
Active
Individual
MARVIN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
PA2761
NV
363A00000X
Physician Assistant
Primary
PA19534
TX
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/27/2022
Last updated
11/03/2025
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