Individual
MR. CARMELO RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5026
Mailing address
1226 SHERMAN AVE, APT 21, BRONX, NY 10456-3015
(646) 641-7427
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006442-1
NY
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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