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Individual

MS. CARMEN M RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7734 N 59TH AVE, GLENDALE, AZ 85301-7816
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51216
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78331
AZ
Enumeration date
05/16/2008
Last updated
08/23/2019
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