Organization
HIGHLANDS OB-GYN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RIVERO JR. M.D. (OWNER/PHYSICIAN)
(931) 528-7527
Entity
Organization
Contact information
Practice address
317 N HICKORY AVE, COOKEVILLE, TN 38501-2428
(931) 528-7527
(931) 372-8839
Mailing address
317 N HICKORY AVE, COOKEVILLE, TN 38501-2428
(931) 528-7527
(931) 372-8839
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34760
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533195
—
TN
Enumeration date
08/15/2013
Last updated
03/30/2016
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