# MARIO CARLOS RIVERA BERNUY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841670445
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 16030 | ND | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 69956 | MN | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | RS2015-0333 | NM | — |

## Other

- **Enumeration date:** 06/09/2015
- **Last updated:** 10/13/2023