Individual
DR. EDMUNDO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4740 A ST, SUITE 100, LINCOLN, NE 68510-4824
(402) 483-7825
(402) 483-7839
Mailing address
4740 A ST, SUITE 100, LINCOLN, NE 68510-4824
(402) 483-7825
(402) 483-7839
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28645
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47059807113
—
NE
Enumeration date
08/29/2008
Last updated
03/20/2017
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