Individual
ALBERT RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1134 N 500 W STE 101, PROVO, UT 84604-5569
(801) 357-8310
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 358-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9316286-1205
UT
207RI0200X
Infectious Disease Physician
9316286-1205
UT
Other
Enumeration date
08/11/2012
Last updated
10/02/2015
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