Individual
DR. MIGUEL PABLO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3939 HOUMA BLVD, SUITE 216, METAIRIE, LA 70006-6673
(504) 888-3292
(504) 888-3692
Mailing address
3939 HOUMA BLVD, SUITE 216, METAIRIE, LA 70006-6673
(504) 888-3292
(504) 888-3692
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
07271R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110042235
RAILROAD MEDICARE
LA
05
—
1377392
—
LA
Enumeration date
07/27/2006
Last updated
09/10/2012
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