Individual
FEDERICO RIVAS-GOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5514 CORPORATE DR STE 120, SAINT JOSEPH, MO 64507-7754
(816) 271-1350
(816) 271-1355
Mailing address
5514 CORPORATE DR STE 120, SAINT JOSEPH, MO 64507-7754
(816) 271-1350
(816) 271-1355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002023849
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200598670A
—
KS
05
—
205998503
—
MO
01
—
P00752887
RAILROAD MEDICARE
MO
Enumeration date
06/14/2006
Last updated
12/09/2020
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