Individual
MANUEL O RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 869-2002
(614) 792-6240
Mailing address
163 S WARREN AVE, COLUMBUS, OH 43204-3064
(380) 241-9770
(614) 792-6240
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PRS.007455
OH
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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