Individual
DR. VICTOR IVAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
(215) 955-6864
Mailing address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
(215) 955-6864
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD476805
PA
Other
Enumeration date
05/21/2019
Last updated
10/25/2024
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