Individual
PATRICIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3821 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-8460
Mailing address
11254 S AVENUE N, CHICAGO, IL 60617-7142
(773) 841-8720
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
69273
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079535
—
WI
Enumeration date
04/05/2016
Last updated
04/24/2023
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