Organization
CMR2612,LLC
Active
Other names
CMR WOUND HOUSECALL, CARLOS RIVERA
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS RIVERA FNP-BC (PROVIDER)
(623) 377-2747
Entity
Organization
Contact information
Practice address
24 W CAMELBACK RD STE A, PHOENIX, AZ 85013-2529
(623) 377-2747
(602) 581-3016
Mailing address
24 W CAMELBACK RD STE A, PHOENIX, AZ 85013-2529
(623) 377-2747
(602) 581-3016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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