Individual
DR. WILFREDO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 S LINDEN RD, FLINT, MI 48532-5497
(810) 720-2400
(810) 720-2401
Mailing address
2335 S LINDEN RD, FLINT, MI 48532-5497
(810) 720-2400
(810) 720-2401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301063815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060B1089
BLUE CROSS
—
01
—
0B56351
HEALTH PLUS
—
05
—
103420840
—
MI
01
—
383380710
TRICARE
—
01
—
C2810
M-CARE
—
01
—
CN9425
MEDICARE RAILROAD
—
01
—
F81583
HAP
—
Enumeration date
12/14/2006
Last updated
03/03/2011
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