Individual
MICHAEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1519 N FANT ST, ANDERSON, SC 29621-4707
(864) 261-3999
(864) 224-8379
Mailing address
PO BOX 2047, ANDERSON, SC 29622-2047
(864) 261-3999
(864) 224-8379
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8701
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087015
—
SC
Enumeration date
06/15/2006
Last updated
04/28/2010
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