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Individual

DR. LUIS RAUL RIVERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
WEED ARMY COMMUNITY HOSPITAL, 390 NORTH LOOP ROAD, FORT IRWIN, CA 92310-1507
(760) 383-5004
Mailing address
PO BOX 105109, FORT IRWIN, CA 92310-5109
(760) 383-5284

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
12919
PR
208D00000X
General Practice Physician
12919
PR

Other

Enumeration date
01/30/2006
Last updated
08/10/2021
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