Individual
DR. WILFREDO RIVERA
Active
Individual
DR. WILFREDO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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